Organization
AFFINICORP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY CLARK (PRESIDENT)
(713) 202-9400
Entity
Organization
Contact information
Practice address
2307 RIVER RD, SUITE 101, LOUISVILLE, KY 40206-5001
(502) 290-8728
(502) 849-0455
Mailing address
2307 RIVER RD, SUITE 101, LOUISVILLE, KY 40206-5001
(502) 290-8728
(502) 849-0455
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
11/21/2016
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