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Organization

MAYFAIR LABORATORY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM JAMES LAW MEDICAL TECHNOLOGIST (OWNER MANAGER)
(270) 684-6242
Entity
Organization

Contact information

Practice address
2315 MAYFAIR DRIVE, SUITE #2, OWENSBORO, KY 42301
(270) 684-6242
(270) 684-6243
Mailing address
2315 MAYFAIR DRIVE, SUITE #2, OWENSBORO, KY 42301
(270) 684-6242
(270) 684-6243

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA 1800326342
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37000817
KY
Enumeration date
01/22/2007
Last updated
01/11/2010
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