Organization
COOPERATIVE HEALTH SERVICES, INC
Active
Parent organization
COOPERATIVE HEALTH SERVICES, INC
Other names
Western Kentucky Rheumatology Center Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOPERATIVE HEALTH SERVICES, INC
Authorized official
JOHN T. HACKBARTH JR. (SECRETARY)
(270) 688-2114
Entity
Organization
Contact information
Practice address
815 E PARRISH AVE STE 230, OWENSBORO, KY 42303-3222
(270) 688-1200
(270) 688-1204
Mailing address
815 E PARRISH AVE STE 230, OWENSBORO, KY 42303-3222
(270) 688-1200
(270) 688-1204
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000518826
ANTHEM LAB GROUP # - CHS
KY
Enumeration date
06/01/2007
Last updated
05/08/2008
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