Organization
THE SPRINGS MEDICAL LABORATORY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E MCNULTY JR. (PRESIDENT)
(270) 683-9771
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE, BUILDING 1 SUITE 102, OWENSBORO, KY 42303-1449
(270) 683-9771
Mailing address
2200 E PARRISH AVE, BUILDING 1 SUITE 102, OWENSBORO, KY 42303-1449
(270) 683-9771
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200305
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D1092600
CLIA
KY
01
—
200305
STATE LICENSE
KY
Enumeration date
12/23/2008
Last updated
02/13/2009
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