Healthcare Provider Details

I. General information

NPI: 1073936746
Provider Name (Legal Business Name): BEST CLINICAL FACILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 BARDSTOWN RD STE 202
LOUISVILLE KY
40218-4605
US

IV. Provider business mailing address

3415 BARDSTOWN RD STE 202
LOUISVILLE KY
40218-4605
US

V. Phone/Fax

Practice location:
  • Phone: 502-472-8363
  • Fax:
Mailing address:
  • Phone: 502-472-8363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. EDUARDO A CHONG
Title or Position: PRESIDENT
Credential:
Phone: 502-472-8363