Organization
FIRST LAB, LLC
Active
Other names
First Lab
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY FORCHT (CEO)
(606) 528-9600
Entity
Organization
Contact information
Practice address
2216 YOUNG DR, STE 2, LEXINGTON, KY 40505-4220
(859) 335-0970
(606) 528-3873
Mailing address
PO BOX 1450, CORBIN, KY 40702-1450
(606) 523-1274
(606) 528-3873
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200259
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297502
ANTHEM PROVIDER ID
KY
05
—
37000510
—
KY
01
—
800566
BLACK LUNG
KY
Enumeration date
05/24/2005
Last updated
08/22/2020
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