Organization
ROBERT N EDWARDS JR MD
Active
Organization
ROBERT N EDWARDS JR MD
Active
Other names
Pyramid Cremations & Linkville Medical Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT NORFLEET EDWARDS M.D. (OWNER)
(541) 882-2426
Entity
Organization
Contact information
Practice address
4509 S 6TH ST, STE. 311, KLAMATH FALLS, OR 97603-4880
(541) 882-2426
(541) 882-2362
Mailing address
4509 S 6TH ST, STE. 311, KLAMATH FALLS, OR 97603-4880
(541) 882-2426
(541) 882-2362
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
366
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055294000
BLUE CROSS PROVIDER ID
OR
05
—
116645
—
OR
01
—
38D0859086
CLIA
OR
Enumeration date
04/27/2006
Last updated
03/07/2023
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