Eastside Diagnostics, Inc.

NPI 1023207925 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1023207925
Enumeration Date 10/17/2007
Last Updated 10/17/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PATRICIA A PATRICIA
Position OWNER
Phone (317) 897-4494
Fax (317) 897-5490
Practice Location
8163 E 21ST ST
INDIANAPOLIS IN, 46219-2513, US
Phone (317) 897-4494
Fax (317) 897-5490
Business Location
PO BOX 199024
INDIANAPOLIS IN, 46219-9024, US
Phone (317) 897-4494
Fax (317) 897-5490
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Eastside Diagnostics, Inc. NPI is 1023207925, taxonomy code is 291U00000X Eastside Diagnostics, Inc. physically located at 8163 E 21st St, Indianapolis IN, 46219-2513. NPI Number 1033115704 has the healthcare provider type.

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1023207925 NPI number is provided on an as is basis without warranty of any kind. 1023207925 is maintained by the National Plan & Provider Enumeration System. The contents of Eastside Diagnostics, Inc. are for informational purposes only.