| NPI | 1366438707 |
|---|---|
| Doing Business As | SPECIAL PROCEDURES LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MOSTAFA FRAIG Medical Director 502-852-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200123) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2012-12-19 |