| Agility Lab Services | |
|
540 W 65th St Indianapolis IN 46260-4604 | |
| (317) 991-8054 | |
| Not Available |
| Full Name | Agility Lab Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 540 W 65th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Courtney Fleming (OWNER) |
| Authorized Official Contact | 3179918054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agility Lab Services 540 W 65th St Indianapolis IN 46260-4604 Ph: (317) 991-8054 | Agility Lab Services 540 W 65th St Indianapolis IN 46260-4604 Ph: (317) 991-8054 |
| NPI Number | 1750042388 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 03/15/2022 |
| Medicare PECOS PAC ID | 3173917648 |
|---|---|
| Medicare Enrollment ID | O20220225001649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750042388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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