Organization
SSA VENTURES, LLC
Active
Other names
AirBioLab
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN HONAKER (OWNER)
(502) 377-4751
Entity
Organization
Contact information
Practice address
1714 CHARLESTOWN NEW ALBANY RD, JEFFERSONVILLE, IN 47130-9708
(812) 271-4240
Mailing address
7000 AIRPORT DR, SELLERSBURG, IN 47172-2033
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300049149
—
IN
Enumeration date
01/20/2021
Last updated
03/24/2022
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