institution
Fort Wayne Medical Laboratory Corporation
Medical Laboratory Technician in Ft Wayne, Indiana
NPI 1285610733

Fort Wayne Medical Laboratory Corporation is a Medical Laboratory Technician based in Fort Wayne, IN and is specialized in Medical Laboratory. Fort Wayne Medical Laboratory Corporation practices in Ft Wayne, IN. The NPI Number for Fort Wayne Medical Laboratory Corporation is 1285610733 and holds a License No. 50000070A (Indiana).

The current practice location address for Fort Wayne Medical Laboratory Corporation is 2470 Lake Ave, Ft Wayne, IN and can be reached out via phone at 260-424-2195. You can also correspond with Fort Wayne Medical Laboratory Corporation through the mailing address at 2470 LAKE AVE, FORT WAYNE, IN - 46805-5406 (mailing address contact number: 260-424-2195).

Location: 2470 Lake Ave, Ft Wayne, IN, 46805-5406
institution
Provider Profile Details
NPI Number
1285610733
Provider Name
Fort Wayne Medical Laboratory Corporation
Credential
Provider Entity Type
Organization
Address
2470 Lake Ave, Ft Wayne, IN, 46805-5406
Phone Number
260-424-2195
Fax Number
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200402190A 05 IN
institution
Provider Business Practice Location Address Details
Address
2470 Lake Ave
City
State
Zip
46805-5406
Phone Number
260-424-2195
Fax Number
person
Provider Business Mailing Address Details
Address
2470 Lake Ave
City
State
Zip
46805-5406
Phone Number
260-424-2195
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Medical Laboratory
Taxonomy
License No.
50000070A (Indiana)
Definition
Definition to come...
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