Verralab Ja Llc

NPI 1821360017 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1821360017
Enumeration Date 02/02/2012
Last Updated 03/04/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RUSSELL B RUSSELL
Position PRESIDENT / OWNER
Phone (502) 566-3588
Fax (502) 566-3591
Practice Location
716 W MAIN ST
SUITE 100A
LOUISVILLE KY, 40202-2670, US
Phone (502) 566-3588
Fax (502) 566-3591
Business Location
716 W MAIN ST
SUITE 100A
LOUISVILLE KY, 40202-2670, US
Phone (502) 566-3588
Fax (502) 566-3591
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
Remove 1821360017 NPI Number
 

According to our database, Verralab Ja Llc NPI is 1821360017, taxonomy code is 291U00000X Verralab Ja Llc physically located at 716 W Main St, Louisville KY, 40202-2670. NPI Number 1033115704 has the healthcare provider type.

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1821360017 NPI number is provided on an as is basis without warranty of any kind. 1821360017 is maintained by the National Plan & Provider Enumeration System. The contents of Verralab Ja Llc are for informational purposes only.