Organization
PHYSICIANS HEALTH GROUP LLC
Active
Other names
PHG Diagnostic Testing Center - Lab
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN WEINERT (EXECUTIVE DIRECTOR)
(812) 485-1818
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE AVE, SUITE 010, EVANSVILLE, IN 47714-0100
(812) 485-1808
(812) 485-1809
Mailing address
3801 BELLEMEADE AVE, SUITE 010, EVANSVILLE, IN 47714-0100
(812) 485-1808
(812) 485-1809
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00018148
RAILROAD MEDICARE
—
Enumeration date
01/04/2006
Last updated
04/20/2008
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