is a Clinical Medical Laboratory in Winchester, Kentucky. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for is 1275790230. The last update date is .
's current location address is 1107 W Lexington Ave, Winchester, Kentucky. You can contact this provider via phone number 8597453500 and fax number 8597453450. The mailing address for is 1107 W Lexington Ave, Winchester, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1107 W Lexington Ave, Winchester, Kentucky |
| Phone Number | 8597453500 |
| Fax Number | 8597453450 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1275790230 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1107 W Lexington Ave |
|---|---|
| City | Winchester |
| State | Kentucky (KY) |
| Post Code | 403911169 |
| Phone Number | 8597453500 |
| Fax Number | 8597453450 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61940 | KY | ANTHEM BLUE CROSS BLUE SHIELD | |
| 657636 | KY | ANTHEM BLUE CROSS BLUE SHEILD |
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