Organization
TOXPERTS, LLC
Active
Other names
Toxperts, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE SISCO III (MANAGING MEMBER)
(606) 437-0097
Entity
Organization
Contact information
Practice address
400 VENTERS LN, SUITE 200, PIKEVILLE, KY 41501-3016
(606) 653-1874
Mailing address
400 VENTERS LN, SUITE 200, PIKEVILLE, KY 41501-3016
(606) 653-1874
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D2090589
CLIA NUMBER
—
Enumeration date
11/28/2014
Last updated
03/10/2016
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