Organization
MOLECULAR PATHOLOGY SERVICES OF THE HENRY VOGT CANCER RESEARCH INST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P SLONE MD (INTERIM DIRECTOR)
(502) 852-0029
Entity
Organization
Contact information
Practice address
529 S JACKSON ST, STE 417, LOUISVILLE, KY 40202-3229
(502) 852-7093
(502) 852-0886
Mailing address
529 S JACKSON ST, STE 417, LOUISVILLE, KY 40202-3229
(502) 852-7093
(502) 852-0886
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200191
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060628
ANTHEM PROV #
KY
01
—
1060980
PASSPORT PROVIDER #
KY
01
—
18D0648486
CLIA
KY
01
—
200043080A
IN MCD #
KY
01
—
2434185000
MEDICARE REPLACEMENT
KY
05
—
65945289
—
KY
Enumeration date
07/28/2005
Last updated
12/14/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us