Organization
UNIVERSITY OF LOUISVILLE
Active
Parent organization
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Other names
Oral Pathology Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
Authorized official
DR. MARK L. BERNSTEIN DDS (LABORATORY DIRECTOR)
(502) 852-5128
Entity
Organization
Contact information
Practice address
501 SOUTH PRESTON STREET, LOUISVILLE, KY 40292-0001
(502) 852-5103
(502) 852-5593
Mailing address
501 SOUTH PRESTON STREET, LOUISVILLE, KY 40292-0001
(502) 852-5103
(502) 852-5593
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
18D0648475
KY
Other
Enumeration date
11/26/2007
Last updated
08/13/2009
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