Organization
NEXUS LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L. BERTRAM D.O. (PRESIDENT)
(270) 866-8881
Entity
Organization
Contact information
Practice address
400 N DIXIE HWY, CAVE CITY, KY 42127-9546
(270) 792-3902
Mailing address
92 JOE T PETTY DR, RUSSELL SPRINGS, KY 42642-8544
(270) 866-8881
(270) 866-8849
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200321
KY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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