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Organization

RIVERVIEW INDEPENDENT LABORATORY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD H. HICKS (PRESIDENT/CEO)
(606) 638-9990
Entity
Organization

Contact information

Practice address
203 SOUTH WATER ST., LOUISA, KY 41230
(606) 638-9990
(606) 638-9990
Mailing address
P.O. BOX 89, 203 SOUTH WATER ST., LOUISA, KY 41230
(606) 638-9990
(606) 638-9990

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37900677
KY
Enumeration date
09/28/2006
Last updated
08/22/2020
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