is a Clinical Medical Laboratory in Bowling Green, Kentucky. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for is 1063523926. The last update date is .
's current location address is 615 Chestnut St, Bowling Green, Kentucky. You can contact this provider via phone number 2707828821 and fax number 2708421820. The mailing address for is 615 Chestnut St, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 615 Chestnut St, Bowling Green, Kentucky |
Phone Number | 2707828821 |
Fax Number | 2708421820 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1063523926 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 615 Chestnut St |
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City | Bowling Green |
State | Kentucky (KY) |
Post Code | 421012200 |
Phone Number | 2707828821 |
Fax Number | 2708421820 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Medical Laboratory |
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Taxonomy | 291U00000X |
Licence No | 200160 |
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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37901717 | KY | -- | |
112997 | KY | ANTHEM PROVIDER NUMBER |
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