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NPI Code Detail

MEDICARE: ARTERIAL HEALTH OF KY, LLC

MEDICARE: ARTERIAL HEALTH OF KY, 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
1293D00000XPhysiological Laboratory

General Provider Information

NPI Number : 1912316936
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTERIAL HEALTH OF KY, LLC
Provider Business Mailing Address
First Line : 2333 ALEXANDRIA DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2333 ALEXANDRIA DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3215
Country : US
Telephone Number : 859-514-6051
Fax Number :
Authorized Official
Title or Position : COO
Name : NEIL LANSING
Credential :
Telephone Number : 404-798-1821
Provider Enumeration Date : 08/04/2014
Last Update Date : 08/04/2014

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Directions to “ARTERIAL HEALTH OF KY, LLC ” Practice Location

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