OrganizationActive
Fort Wayne Medical Laboratory Corporation
NPI 1285610733 · Medical Laboratory Technician · Ft Wayne, IN
Provider details
- NPI number
- 1285610733
- Entity type
- Organization
- Primary specialty
- Medical Laboratory TechnicianTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Seung Kim, Laboratory Director(260) 373-3657
- License
- 50000070A (IN)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2470 Lake Ave
Ft Wayne, IN 46805-5406
Phone: (260) 424-2195
Approximate (ZIP-level) locationGet directions
Mailing address
2470 Lake Ave
Fort Wayne, IN 46805-5406
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2012-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.