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
Mailing address
PO BOX 3316, EVANSVILLE, IN 47732-3316
(812) 464-0521
(812) 464-0565
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200135
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37903820
—
KY
Enumeration date
05/05/2008
Last updated
05/05/2008
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