Organization
PREMIERTOX 2 0 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC A. DUNCAN (CHIEF EXECUTIVE OFFICER)
(859) 368-9504
Entity
Organization
Contact information
Practice address
3221 SUMMIT SQUARE PL, LEXINGTON, KY 40509-2653
(859) 368-9504
(859) 368-9503
Mailing address
PO BOX 1038, FRANKFORT, KY 40602-1038
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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