Organization
ARNETT CLINIC, LLC
Active
Parent organization
ARNETT CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARNETT CLINIC, LLC
Authorized official
ALFONSO GATMAITAN (C.E.O.)
(765) 448-8000
Entity
Organization
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377073
ANTHEM LAB NUMBER
IN
05
—
100232370A
—
IN
Enumeration date
03/29/2006
Last updated
03/16/2012
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