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NPI Code Detail

MEDICARE: NULEASE MEDICAL SOLUTIONS LLC

MEDICARE: NULEASE MEDICAL SOLUTIONS LLC
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 Laboratory

General Provider Information

NPI Number : 1184297483
Entity Type Code : Organization
Provider Name (Legal Business Name) : NULEASE MEDICAL SOLUTIONS LLC
Provider Business Mailing Address
First Line : 5722 OUTER LOOP
Second Line :
City : LOUISVILLE
State : KY
Zip : 40219-4156
Country : US
Telephone Number : 502-492-7455
Fax Number : 502-921-0222
Provider Business Practice Location Address
First Line : 5722 OUTER LOOP
Second Line :
City : LOUISVILLE
State : KY
Zip : 40219-4156
Country : US
Telephone Number : 502-492-7455
Fax Number : 502-921-0222
Authorized Official
Title or Position : OWNER
Name : SHANNON CALES
Credential :
Telephone Number : 502-492-7455
Provider Enumeration Date : 07/23/2021
Last Update Date : 07/23/2021

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Directions to “NULEASE MEDICAL SOLUTIONS LLC ” Practice Location

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