Organization
CLARION DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MINTON (OWNER)
(502) 939-1925
Entity
Organization
Contact information
Practice address
2900 LAKE VISTA DR, LOUISVILLE, KY 40241-3422
(502) 939-1925
Mailing address
2900 LAKE VISTA DR, LOUISVILLE, KY 40241-3422
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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