Organization
HARDIN MEMORIAL HOSPITAL
Active
Other names
HARDIN MEMORIAL HOSPITAL REFERENCE LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L GRAY (CEO)
(270) 706-1602
Entity
Organization
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 737-1212
(270) 706-5019
Mailing address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 737-1212
(270) 706-5019
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANTHEM-WELLPOINT
000000061982
KY
Enumeration date
02/07/2007
Last updated
08/22/2020
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