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NPI Code Detail

MEDICARE: ADS LABS, PLLC

MEDICARE: ADS LABS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory29531KY

General Provider Information

NPI Number : 1144571142
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADS LABS, PLLC
Provider Business Mailing Address
First Line : PO BOX 24906
Second Line :
City : LEXINGTON
State : KY
Zip : 40524-4906
Country : US
Telephone Number : 859-268-1030
Fax Number : 859-269-4120
Provider Business Practice Location Address
First Line : 2375 PROFESSIONAL HEIGHTS DR
Second Line : SUITE 270
City : LEXINGTON
State : KY
Zip : 40503-3040
Country : US
Telephone Number : 859-268-1030
Fax Number : 859-269-4120
Authorized Official
Title or Position : PARTNER
Name : DAVID KRAMER
Credential : MD
Telephone Number : 859-268-1030
Provider Enumeration Date : 10/01/2012
Last Update Date : 10/01/2012

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