| NPI | 1619974573 |
|---|---|
| Former Legal Business Name | PAUL B GOOGE M.D. |
| Entity Type | Organization |
| Authorized Contact | MARC INGRAM CEO 502-876-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2025-06-12 |