Contact Us

Name:
Patient Name:
Account #:
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DOB: EG: 01/01/2001
Phone #: EG: 555-555-5555
Email Address:
Question:
Custom Data Services, Inc.

Custom Data Services, Inc.
55 East 86th Avenue
Merrillville, IN 46410

Phone (219) 769-1670

Fax (219) 738-6716

Toll Free 1-800-589-4924