Organization
IMP HEALTH SERVICES INC
Active
Other names
general medical laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
HREPSIME MAHSEREDJIAN (PRESIDENT)
(877) 827-7015
Entity
Organization
Contact information
Practice address
156 ISLAND CREEK RD, PIKEVILLE, KY 41501-9340
(877) 827-7015
Mailing address
13659 VICTORY BLVD, STE 690, VAN NUYS, CA 91401-1735
(877) 827-7015
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
18D03255041
KY
Other
Enumeration date
08/30/2010
Last updated
09/01/2010
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