Organization
NEXUS LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L. BERTRAM D.O. (PRESIDENT)
(270) 866-8881
Entity
Organization
Contact information
Practice address
148 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6617
(606) 878-1181
Mailing address
92 JOE T PETTY DR, RUSSELL SPRINGS, KY 42642-8544
(270) 866-8881
(270) 866-8849
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200318
KY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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