| NPI | 1164075248 |
|---|---|
| Doing Business As | OWENSBORO MEDICAL PRACTICE, PLLC |
| Doing Business As | TRISTATE DIAGNOSTIC LABORATORY |
| Entity Type | Organization |
| Authorized Contact | FRANCES MICHELE BEYKE Administration 270-683-8672 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |