Organization
MAKO MEDICAL LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA RYAN ARANT (COO)
(704) 517-4245
Entity
Organization
Contact information
Practice address
2277 THUNDERSTICK DR, LEXINGTON, KY 40505-9002
(919) 351-6256
(919) 882-9211
Mailing address
4901 GLENWOOD AVE STE 300, RALEIGH, NC 27612-3820
(919) 351-6256
(919) 351-6256
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D2200531
CLIA
KY
Enumeration date
10/17/2023
Last updated
10/17/2023
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