NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1790783074 |   |   |   | MEDICAL DIAGNOSTIC SERVICES LLP | PO BOX 5628 | LAFAYETTE | IN | 479035628 |
1841297801 | CONTRERAS | MARIO | ROLANDO |   | PO BOX 5628 | LAFAYETTE | IN | 479035628 |
1487650180 | FORTRESS | KENNETH | GERALD |   | PO BOX 5628 | LAFAYETTE | IN | 479035628 |
1417953118 | HENDERSON | LEE | ALLEN |   | PO BOX 5628 | LAFAYETTE | IN | 479035628 |
1750389169 | STARK | ERIC | WYGANT |   | PO BOX 5628 | LAFAYETTE | IN | 479035628 |