| NPI | 1619082831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE MURRAY Insurance Manager 859-277-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 18d0683724) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: KY 160531) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-09-26 |