Organization
HIGHLANDS MEDICAL PARTNERS I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK BLACKWELL (CFO)
(606) 886-7548
Entity
Organization
Contact information
Practice address
400 UNIVERSITY DR, SUITE 102, PRESTONSBURG, KY 41653-1080
(606) 886-7094
(606) 886-7092
Mailing address
PO BOX 566, PRESTONSBURG, KY 41653-0566
(606) 886-7094
(606) 886-7092
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/19/2009
Last updated
07/08/2011
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