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Clinical Reference Laboratory, INC.

Clinical Medical Laboratory in Bowling Green, KY. Organization (NPI-2).

NPI number1063523926
StatusActive
Last updated in NPPESSep 13, 2007

Details

NPI
1063523926
Entity type
Organization (NPI-2)
Legal business name
Clinical Reference Laboratory, INC.
Organization subpart
No
Enumeration date
Aug 31, 2006
Last updated
Sep 13, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory200160KYYes

Practice location

615 Chestnut St
Bowling Green, KY 42101-2200

Phone 270-782-8821 · Fax 270-842-1820

Mailing address

615 Chestnut St
Bowling Green, KY 42101-2200

Phone 270-782-8821 · Fax 270-842-1820

Authorized official

Carolynn Jernigan
Manager
2707828821

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