Organization
SYNERGISTIC LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN DAVID FOX (OWNER)
(317) 750-9364
Entity
Organization
Contact information
Practice address
1980 E 116TH ST, CARMEL, IN 46032
(317) 750-9364
Mailing address
380 PATRICIA CT, CARMEL, IN 46033-3277
(317) 750-9364
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225795909
N/A
—
Enumeration date
06/27/2022
Last updated
06/27/2022
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