Organization
ST MATTHEWS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J RUEFF M.D. (PARTNER)
(502) 895-4263
Entity
Organization
Contact information
Practice address
4003 KRESGE WAY, SUITE 400, LOUISVILLE, KY 40207-4652
(502) 895-4263
(502) 899-5488
Mailing address
4003 KRESGE WAY, SUITE 400, LOUISVILLE, KY 40207-4652
(502) 895-4263
(502) 899-5488
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
18D0321241
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066874
—
KY
01
—
3500123
UNITED HEALTHCARE REF LAB
KY
05
—
65923682
—
KY
Enumeration date
09/07/2005
Last updated
03/23/2010
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