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18D0903172 CLIA NUMBER - GREATER LOUISVILLE INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 18D0903172

Facility Name: GREATER LOUISVILLE INTERNAL MEDICINE

Facility Address:
9517 US HIGHWAY 42
PROSPECT, KY
ZIP 40059
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Facility Phone Number: 502 214-8107

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1407820533

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 18D0903172
LAB Type Physician Office
Facility Name GREATER LOUISVILLE INTERNAL MEDICINE
Street 9517 US HIGHWAY 42
City PROSPECT
State KY
ZIP 40059
Phone 502 214-8107
CertificateType 2
CertificateEffectiveDate 6/27/2022
CertificateExpirationDate 6/26/2024
FacilityType Compliance

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