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Organization

LABEXPRESS MEDILAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RON COBURN (OWNER)
(859) 421-9596
Entity
Organization

Contact information

Practice address
2720 OLD ROSEBUD RD, 2ND FLOOR, STE 280, LEXINGTON, KY 40509-8004
(877) 294-1621
(866) 897-2926
Mailing address
2720 OLD ROSEBUD RD, 2ND FLOOR, STE 280, LEXINGTON, KY 40509-8004
(877) 294-1621
(866) 897-2926

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200335
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100226840
KY
Enumeration date
06/08/2012
Last updated
02/06/2013
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