Organization
PEARL DIAGNOSTIC LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAWARU OMORUYI MD (CEO)
(502) 777-4301
Entity
Organization
Contact information
Practice address
2202 BUECHEL AVE STE 105D, LOUISVILLE, KY 40218-2672
(502) 814-4074
(502) 814-4073
Mailing address
2202 BUECHEL AVE STE 105D, LOUISVILLE, KY 40218-2672
(502) 814-4074
(502) 814-4073
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/28/2022
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