Organization
GEORGE CARL BORST III PSC
Active
Other names
Testing Medical Endocrine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE C BORST III M.D. (DIRECTOR)
(606) 326-1101
Entity
Organization
Contact information
Practice address
1201 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7064
(606) 836-7000
(606) 836-3157
Mailing address
1201 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7064
(606) 836-7000
(606) 836-3157
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200146
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000063697
BLUE CROSS
KY
05
—
3790137800
—
KY
05
—
3810006274
—
WV
01
—
4007701
MEDICARE
KY
Enumeration date
05/19/2006
Last updated
05/11/2015
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