| NPI | 1205342748 |
|---|---|
| Other Name | ETHAN HEALTH LAB SERVICES |
| Entity Type | Organization |
| Authorized Contact | JENNIFER EVANS Official Credentialing Manager 859-317-8714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |