Organization
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Active
Other names
ULP Molecular Pathology Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ELLIOTT (VP OF HR)
(502) 588-4206
Entity
Organization
Contact information
Practice address
529 S JACKSON ST, SUITE 416, LOUISVILLE, KY 40202-3229
(502) 852-7093
(502) 852-0886
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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