Northwest Center Medical Services Corp

Organization Clinical Cytogenetics Physician · NPI 1235399726

Northwest Center Medical Services Corp provides Clinical Cytogenetics Physician services in Gary, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in: IN
In the registry since: 2008

What do these letters mean?

Corp — Corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

3400 Broadway
Gary, IN 46408-1101 Not confirmed with CMS for 18 years — call before visiting
Phone: (219) 980-6699
Fax: (219) 980-6693

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

Specialties & licences

Clinical Cytogenetics Physician (primary)	Taxonomy 207SC0300X · Licence 01034266A (IN)

Record details

NPI number	1235399726
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dawn Ilgenfritz — Secretary, Board Of Directors · (219) 980-6699
NPI enumerated	June 10, 2008
Last updated in NPPES	June 10, 2008
Mailing address	3400 Broadway, Gary, IN 46408-1101