Organization
CORNERSTONE DIAGNOSTICS INC
Active
Parent organization
CORNERSTONE DIAGNOSTICS INC
Other names
Premiertox Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNERSTONE DIAGNOSTICS INC
Authorized official
MIKE HUDDLESTON (CEO)
(877) 412-8330
Entity
Organization
Contact information
Practice address
1814 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1229
(877) 412-8330
(844) 982-0300
Mailing address
PO BOX 1240, RUSSELL SPRINGS, KY 42642-1240
(877) 412-8330
(844) 982-0300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200322
KY
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100342300
—
KY
Enumeration date
07/19/2011
Last updated
01/26/2022
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