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Northwest Center Medical Services Corp
Clinical Cytogenetics Physician in Gary, Indiana
NPI 1235399726

Northwest Center Medical Services Corp is a Clinical Cytogenetics Physician based in Gary, IN and is specialized in Clinical Cytogenetics. Northwest Center Medical Services Corp practices in Gary, IN. The NPI Number for Northwest Center Medical Services Corp is 1235399726 and holds a License No. 01034266A (Indiana).

The current practice location address for Northwest Center Medical Services Corp is 3400 Broadway, Gary, IN and can be reached out via phone at 219-980-6699 and via fax at 219-980-6693.

Location: 3400 Broadway, Gary, IN, 46408-1101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235399726
Provider Name
Northwest Center Medical Services Corp
Credential
Provider Entity Type
Organization
Address
3400 Broadway, Gary, IN, 46408-1101
Phone Number
219-980-6699
Fax Number
219-980-6693
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100471020A 05 IN
institution
Provider Business Practice Location Address Details
Address
3400 Broadway
City
Gary
State
Indiana
Zip
46408-1101
Phone Number
219-980-6699
Fax Number
219-980-6693
person
Provider Business Mailing Address Details
Address
3400 Broadway
City
Gary
State
Indiana
Zip
46408-1101
Phone Number
219-980-6699
Fax Number
219-980-6693
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Cytogenetics
Taxonomy
207SC0300X
License No.
01034266A (Indiana)
Definition
A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.
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