Organization
LOUISA MEDICAL CLINIC LAB & XRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC WORKMAN LAB DIRECTOR (LAB DIRECTOR)
(606) 638-4595
Entity
Organization
Contact information
Practice address
412 N LOCK AVE, LOUISA, KY 41230-1115
(606) 638-4595
Mailing address
412 N LOCK AVE, LOUISA, KY 41230-1115
(606) 638-4595
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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