Organization
MEDICAL ARTS LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARONDA G GAYHEART MT(ASCP) (PRESIDENT)
(859) 623-3956
Entity
Organization
Contact information
Practice address
1110 LANCASTER RD, SUITE 1, RICHMOND, KY 40475-8792
(859) 623-3956
(859) 623-0272
Mailing address
1110 LANCASTER RD, SUITE 1, RICHMOND, KY 40475-8792
(859) 623-3956
(859) 623-0272
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061994
UNICARE
KY
05
—
37903739
—
KY
Enumeration date
07/22/2006
Last updated
08/22/2020
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