| NPI | 1245313246 |
|---|---|
| Doing Business As | BOURBON MEDICAL LAB & X-RAY |
| Entity Type | Organization |
| Authorized Contact | HENRIETTA RUTH GREY Lab Manager 859-987-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 896) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: KY 200122) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-09-26 |