Organization Name: | SHARP IMAGE DIAGNOSTICS LLC |
NPI Number: | 1134468655 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRENE CHALOKWU (OWNER) |
Mailing Address: | 111 W 10th St Hobart |
State: | IN US |
Postal Code: | 463425990 |
Phone Number: | 2199422300 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2013 |
NPI Last Update Date: | 07/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |