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NPI Code Detail

MEDICARE: STRAND ANALYTICAL LABORATORIES, LLC

MEDICARE: STRAND ANALYTICAL LABORATORIES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1851550768
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRAND ANALYTICAL LABORATORIES, LLC
Provider Business Mailing Address
First Line : 5770 DECATUR BLVD
Second Line : SUITE A
City : INDIANAPOLIS
State : IN
Zip : 46241-9561
Country : US
Telephone Number : 317-255-4100
Fax Number :
Provider Business Practice Location Address
First Line : 5770 DECATUR BLVD
Second Line : SUITE A
City : INDIANAPOLIS
State : IN
Zip : 46241-9561
Country : US
Telephone Number : 317-255-4100
Fax Number :
Authorized Official
Title or Position : CFO
Name : TRAVIS A. MORGAN
Credential :
Telephone Number : 317-679-5295
Provider Enumeration Date : 06/05/2008
Last Update Date : 02/16/2009

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Directions to “STRAND ANALYTICAL LABORATORIES, LLC ” Practice Location

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