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Organization

HENDERSON LAB AND XRAY

Active
Parent organization
THE HEART GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE HEART GROUP
Authorized official
DR. SATYAM TATINENI MD (PRESIDENT/THE HEART GROUP)
(812) 464-0521
Entity
Organization

Contact information

Practice address
1413 N ELM ST, HENDERSON, KY 42420-2768
(270) 826-6277
(812) 464-0565
Mailing address
PO BOX 3316, EVANSVILLE, IN 47732-3316
(812) 464-0521
(812) 464-0565

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
730027
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8602051800
KY
Enumeration date
05/05/2008
Last updated
05/05/2008
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