Fort Wayne Medical Laboratory Corporation

Organization Medical Laboratory Technician · NPI 1285610733

Fort Wayne Medical Laboratory Corporation is a Medical Laboratory Technician in Ft Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in: IN
In the registry since: 2005

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Practice location Address checks out

2470 Lake Ave
Ft Wayne, IN 46805-5406
Phone: (260) 424-2195

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Laboratory Technician (primary)	Taxonomy 246RM2200X · Licence 50000070A (IN)

Record details

NPI number	1285610733
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Seung Kim — Laboratory Director · (260) 373-3657
NPI enumerated	December 16, 2005
Last updated in NPPES	March 1, 2012
Mailing address	2470 Lake Ave, Fort Wayne, IN 46805-5406