Organization
TAYLOR DIAGNOSTIC LABORATORY
Active
Other names
LINCOLN CLINICAL LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH R TAYLOR (OWNER)
(270) 683-8727
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE, BLD #C SUITE 101, OWENSBORO, KY 42303-1449
(270) 683-8727
Mailing address
PO BOX 22194, OWENSBORO, KY 42304-2194
(270) 683-8727
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
X18214
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061991
ANTHEM
KS
05
—
37901238
—
KY
Enumeration date
01/25/2007
Last updated
01/07/2008
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