Organization
MEMORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIKA MCBRIDE (OWNER)
(502) 457-6123
Entity
Organization
Contact information
Practice address
1313 BERRY BLVD, LOUISVILLE, KY 40215-1950
(502) 457-6123
Mailing address
1313 BERRY BLVD, LOUISVILLE, KY 40215-1950
(502) 457-6123
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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