Provider Demographics
NPI:1386208783
Name:MOR-NUCO ENTERPRISES INC.
Entity Type:Organization
Organization Name:MOR-NUCO ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:TAGGART
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:765-464-1583
Mailing Address - Street 1:1201 CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1359
Mailing Address - Country:US
Mailing Address - Phone:765-464-1583
Mailing Address - Fax:765-464-8769
Practice Address - Street 1:1201 CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-1359
Practice Address - Country:US
Practice Address - Phone:765-464-1583
Practice Address - Fax:765-464-8769
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELIO HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-01
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory