Organization
SOUTHERN MEDICAL LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA JILL GERALDS BILLING SUPERVISOR (SUPERVISOR)
(270) 651-2989
Entity
Organization
Contact information
Practice address
1407 N RACE ST STE 3, GLASGOW, KY 42141-3474
(270) 651-2989
(270) 651-7690
Mailing address
1407 N RACE ST STE 3, GLASGOW, KY 42141-3474
(270) 651-2989
(270) 651-7690
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200129
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061985
ANTHEM KENTUCKY BCBS
—
01
—
18D0325975
CLIA CERTIFICATE NUMBER
—
05
—
37901246
—
KY
Enumeration date
07/28/2006
Last updated
08/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us