18D0320437 CLIA NUMBER - VMD PRIMARY PROVIDERS CENTRAL KY

Laboratory Demographics

CLIA Number: 18D0320437

Facility Name: VMD PRIMARY PROVIDERS CENTRAL KY

Facility Address:
325 WEST WALNUT STREET SUITE 600
LEBANON, KY
ZIP 40033
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Facility Phone Number: 270 699-9500

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1780682609

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 18D0320437
LAB Type Physician Office
Facility Name VMD PRIMARY PROVIDERS CENTRAL KY
Street 325 WEST WALNUT STREET SUITE 600
City LEBANON
State KY
ZIP 40033
Phone 270 699-9500
CertificateType 2
CertificateEffectiveDate 11/15/2023
CertificateExpirationDate 11/14/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024