Provider Demographics
NPI:1255777389
Name:EMPIRE HEALTHCARE INC.
Entity type:Organization
Organization Name:EMPIRE HEALTHCARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERRYL
Authorized Official - Middle Name:ARROYO
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:317-946-5848
Mailing Address - Street 1:2267 SEATTLE SLEW DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46234-7663
Mailing Address - Country:US
Mailing Address - Phone:317-946-5848
Mailing Address - Fax:317-736-4321
Practice Address - Street 1:231 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-7310
Practice Address - Country:US
Practice Address - Phone:317-946-5848
Practice Address - Fax:317-736-4321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory