| NPI | 1942203955 |
|---|---|
| Doing Business As | LIFESCAN LOUISVILLE |
| Entity Type | Organization |
| Authorized Contact | MICHELLE DOUGLAS Contract Manager 502-403-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-01-11 |