Organization
PREMIERTOX 2 0 INC
Active
Other names
PremierTox Lab Albany
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E KLIPP (PRESIDENT)
(270) 866-8854
Entity
Organization
Contact information
Practice address
106 N CROSS ST, ALBANY, KY 42602-1416
(270) 866-2635
(606) 387-0405
Mailing address
PO BOX 538512, ATLANTA, GA 30353-8512
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
KY22016860
KY
Other
Enumeration date
01/15/2015
Last updated
05/08/2015
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