Organization
PINEVILLE COMMUNITY HOSPITAL REFERENCE LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN COUCH (CONTROLLER)
(606) 337-3051
Entity
Organization
Contact information
Practice address
850 RIVERVIEW RD, PINEVILLE, KY 40977-1430
(606) 337-3051
(606) 337-2871
Mailing address
850 RIVERVIEW RD, PINEVILLE, KY 40977-1430
(606) 337-3051
(606) 337-2871
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
18D0323967
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061950
ANTHEM BCBS REFERENCE LAB
KY
Enumeration date
01/18/2007
Last updated
05/09/2018
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