Organization · Type 2 NPI
Essential Lab
Clinic/Center · Fort Wayne, IN
NPI number
1063178127
Active
Practice location
6324 Constitution Dr
Fort Wayne, IN 46804-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency | 251J00000X | None listed |
| Public Health or Welfare Agency | 251K00000X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1063178127
Essential Lab's National Provider Identifier is 1063178127, issued on Nov 12, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 7, 2025.