Provider Demographics
NPI:1023338977
Name:CARDIOQUICK KRANER HEALTH RESOURCES, LLC
Entity type:Organization
Organization Name:CARDIOQUICK KRANER HEALTH RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:R
Authorized Official - Last Name:KRANER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-678-4857
Mailing Address - Street 1:9416 W CONSTELLATION DR
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:IN
Mailing Address - Zip Code:46064-7511
Mailing Address - Country:US
Mailing Address - Phone:866-678-4857
Mailing Address - Fax:866-678-4857
Practice Address - Street 1:9416 W CONSTELLATION DR
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:IN
Practice Address - Zip Code:46064-7511
Practice Address - Country:US
Practice Address - Phone:866-678-4857
Practice Address - Fax:866-678-4857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN15D1081726291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory