Organization
CHOICE LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE E BRANAM (PRESIDENT/CEO)
(317) 828-0412
Entity
Organization
Contact information
Practice address
320 N MERIDIAN ST, INDIANAPOLIS, IN 46268-3047
(317) 828-0412
Mailing address
320 N MERIDIAN ST, INDIANAPOLIS, IN 46268-3047
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01018004A
IN
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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