18D0858674 CLIA NUMBER - EAST KY PULMONARY AND SLEEP DISORDER CENTER, INC

Laboratory Demographics

CLIA Number: 18D0858674

Facility Name: EAST KY PULMONARY AND SLEEP DISORDER CENTER, INC

Facility Address:
9350 US HWY 23 SOUTH SUITE 104
STANVILLE, KY
ZIP 41659
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Facility Phone Number: 606 285-3361

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013063106

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	18D0858674
LAB Type	Physician Office
Facility Name	EAST KY PULMONARY AND SLEEP DISORDER CENTER, INC
Street	9350 US HWY 23 SOUTH SUITE 104
City	STANVILLE
State	KY
ZIP	41659
Phone	606 285-3361
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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