NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1285610733 |   |   |   | FORT WAYNE MEDICAL LABORATORY CORPORATION | 2470 LAKE AVE | FORT WAYNE | IN | 468055406 |
1831175389 |   |   |   | ALLIED HOSPITAL PATHOLOGISTS, P.C. | 2458 LAKE AVE | FORT WAYNE | IN | 468055406 |
1477537652 | BURKHARDT | ROBERT |   |   | 2458 LAKE AVE | FORT WAYNE | IN | 468055406 |
1093799546 | BUSTAMANTE | BLANDINE | B |   | 2458 LAKE AVE | FORT WAYNE | IN | 468055406 |
1639153182 | KIM | SEUNG | SOO |   | 2458 LAKE AVE | FORT WAYNE | IN | 468055406 |
1386628576 | LEE | SHUISHIH | SAGE |   | 2458 LAKE AVE | FORT WAYNE | IN | 468055406 |
1487638862 | MCBRIDE | RALPH | CRAIG |   | 2458 LAKE AVE | FORT WAYNE | IN | 468055406 |
1487875662 | NOWROUZI | ANAHIT |   |   | 2458 LAKE AVE | FORT WAYNE | IN | 468055406 |
1275517724 | SMITH | DARRYL |   |   | 2458 LAKE AVE | FORT WAYNE | IN | 468055406 |
1811971369 | WAN | XIAOYING |   |   | 2458 LAKE AVE | FORT WAYNE | IN | 468055406 |
1881807659 | WANG | STEVEN |   |   | 2458 LAKE AVE | FORT WAYNE | IN | 46805 |