Organization
RECOVERY LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DURHAM MANAGING MEMBER (MANAGING MEMBER)
(859) 605-6390
Entity
Organization
Contact information
Practice address
461 S 4TH ST, DANVILLE, KY 40422-2053
(859) 236-7913
Mailing address
PO BOX 1430, FRANKFORT, KY 40602-1430
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
12/19/2012
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