Organization · Type 2 NPI

Blackbird Clinical Services, LLC

Public Health or Welfare Agency · Lafayette, IN

NPI number 1164669255 Active

Practice location

2 Executive Dr Ste D
Lafayette, IN 47905-4878

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

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About NPI 1164669255

Blackbird Clinical Services, LLC's National Provider Identifier is 1164669255, issued on Jan 12, 2009. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Lafayette, IN. The record was last updated on Jan 12, 2009.