Organization
AB DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOLUS (MANAGER)
(502) 538-2980
Entity
Organization
Contact information
Practice address
138 EASTBROOKE CT, MT WASHINGTON, KY 40047-5562
(502) 418-9138
Mailing address
207 S BARDSTOWN RD, MT WASHINGTON, KY 40047-7248
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
07/12/2022
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