Owensboro Medical Practice, PLLC
Clinical Medical Laboratory in Owensboro, KY. Organization (NPI-2).
NPI number1164075248
StatusActive
Last updated in NPPESJul 18, 2019
Details
- NPI
- 1164075248
- Entity type
- Organization (NPI-2)
- Legal business name
- Owensboro Medical Practice, PLLC
- Organization subpart
- Yes
- Enumeration date
- Jul 18, 2019
- Last updated
- Jul 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Owensboro Medical Practice, PLLC (Doing Business As)
- Tristate Diagnostic Laboratory (Doing Business As)
Practice location
2754 Veach RdOwensboro, KY 42303-6219
Phone 270-852-7771 · Fax 270-852-7773
Mailing address
1200 Breckenridge St Ste 100Owensboro, KY 42303-1089
Phone 270-683-8672 · Fax 270-685-8223
Authorized official
Frances Michele Beyke
Administration
2706838672
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