| NPI | 1710032420 |
|---|---|
| Doing Business As | TRI STATE MEDICAL LAB |
| Entity Type | Organization |
| Authorized Contact | DINESH M GOYAL President 270-852-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 200266) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-08-08 |