Organization
APOLLO LABORATORY SCIENCE AND TECHNOLOGY SERVICES
Active
Other names
Apollo Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
KIM D SHEETS (CREDENTIALING ADMINISTRATIVE)
(859) 320-0412
Entity
Organization
Contact information
Practice address
1718 ALEXANDRIA DR STE 300, LEXINGTON, KY 40504-3144
(859) 320-0412
(888) 977-1886
Mailing address
1718 ALEXANDRIA DR STE 300, LEXINGTON, KY 40504-3144
(859) 320-0412
(888) 977-1886
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
200377
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100497050
—
KY
01
—
K226080
MEDICARE
KY
Enumeration date
09/15/2016
Last updated
04/12/2022
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