Organization
COMPLIANCE ADVANTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SHEETS (CREDENTIALING)
(859) 881-3131
Entity
Organization
Contact information
Practice address
232 N PLAZA DR, NICHOLASVILLE, KY 40356-2511
(859) 881-3131
(859) 881-3133
Mailing address
232 NORTH PLAZA DRIVE, NICHOLASVILLE, KY 40356-8060
(859) 881-3131
(859) 881-3133
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100262470
—
KY
01
—
K085050
MEDICARE
KY
Enumeration date
08/01/2012
Last updated
07/21/2022
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