Organization
COMBINED PHYSICIANS LAB LLC
Active
Other names
Integrated DX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BAILEY (MANAGING PARTNER)
(859) 353-8464
Entity
Organization
Contact information
Practice address
3945 SIMPSON LN, RICHMOND, KY 40475-9113
(859) 353-8464
(855) 704-1599
Mailing address
3945 SIMPSON LN, RICHMOND, KY 40475-9113
(859) 353-8464
(855) 704-1599
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061984
BLUECROSS BLUESHIELD
—
01
—
220001795
RRMC
—
05
—
37901212
—
KY
Enumeration date
10/04/2007
Last updated
06/02/2021
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