Terre Haute Medical Laboratory, Inc.
Organization Active NPI Clinical Medical Laboratory · Marshall, IL
NPI 1477870772 · NPPES record last updated Apr 26, 2010
Key facts
- NPI
- 1477870772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 50000920A (IN)
- Legal business name
- TERRE HAUTE MEDICAL LABORATORY, INC.
- Practice address
- 410 N 2ND St
Marshall, IL 62441-1010 - Phone
- (812) 244-0100
- Fax
- (812) 244-0096
- NPI assigned
- Apr 26, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- TERRE HAUTE MEDICAL LABORATORY, INC.
Authorized official
- Name
- Dr. William David Depond, M.D.
- Title
- President/Chief Medical Officer
- Phone
- (812) 244-0100
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Terre Haute Laboratory Inc
- Part of
- Terre Haute Laboratory Inc
Locations
634 Beech St
Terre Haute, IN 47804
Phone (812) 234-2602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 50000920A | IN | Yes |
Addresses
Primary practice location
410 N 2ND St
Marshall, IL 62441-1010
Mailing address
634 Beech St
Terre Haute, IN 47804-2760
Phone (812) 244-0100
Other names
- MEDLAB
Other providers in Marshall, IL
- Steven G Metternich
- Supportive Care of Illinois PC
- Erin R Switzer
- Wesley Switzer
- Marilyn Talbott
- James A Turner
- Jessie Lea Uchytil
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- Union Hospital Inc
- Union Hospital Incorporated
All providers in Marshall, IL · Clinical Medical Laboratory in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.