Organization
MEDICAL LABORATORY CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART E WOLFSON MD (MEDICAL DIRECTOR)
(502) 589-1980
Entity
Organization
Contact information
Practice address
221 S PRESTON ST, LOUISVILLE, KY 40202-1223
(502) 589-1980
(502) 589-1982
Mailing address
221 S PRESTON ST, LOUISVILLE, KY 40202-1223
(502) 589-1980
(502) 589-1982
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200241
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061816
ANTHEM BLUE CROSS
KY
05
—
37000130
—
KY
Enumeration date
02/27/2007
Last updated
03/10/2008
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