Organization
OLIVER WINSTON LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHAVAL PATEL (PARTNER)
(859) 444-5790
Entity
Organization
Contact information
Practice address
1618 HARRODSBURG RD, LEXINGTON, KY 40504-3706
(859) 444-5790
(859) 444-5791
Mailing address
1618 HARRODSBURG RD, LEXINGTON, KY 40504-3706
(859) 444-5790
(859) 444-5791
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D2118830
CLIA
KY
01
—
200376
MEDICAL LABORATORY LICENSE
KY
01
—
27579
COLA
KY
Enumeration date
09/09/2016
Last updated
01/31/2023
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