Northlake International Medical Laboratory

NPI Provider: 1265437818
Contact Name: Brown Delldean Patricia
Position: CEO
Phone: (219) 985-1315

Northlake International Medical Laboratory Information:

Northlake International Medical Laboratory organization have npi 1265437818, taxonomy code is 291U00000X with license number is 5137901 in . This Business address located in 234 W 46th Ave, Gary, IN 46408 Indiana.

Practice Location
Address: 2200 Grant St, Gary, IN 46404
Phone: (219) 614-6833

Business Location
Address: 234 W 46th Ave, Gary, IN 46408
Phone: (219) 985-1315
Fax: (215) 938-7990

Taxonomy

Taxonomy Code: 291U00000X

License Number: 5137901

License Number of State: IN

Primary Taxonomy Switch: Y

Enumeration Date: 6/19/2005

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