MEDICARE: SAFE CARE LAB AND TESTING-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
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1609738541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE CARE LAB AND TESTING-LLC

Provider Business Mailing Address
First Line	:	3333 BARDSTOWN RD STE 13
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-4613
Country	:	US
Telephone Number	:	502-240-7218
Fax Number	:	502-240-7218

Provider Business Practice Location Address
First Line	:	3333 BARDSTOWN RD STE 13
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-4613
Country	:	US
Telephone Number	:	502-240-7218
Fax Number	:	502-240-7218

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MRS. FAITH TOMANEE GBAYEE
Credential	:	RN
Telephone Number	:	502-240-7218

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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