18D0915391 CLIA NUMBER - DOUGLAS J NESBITT MD

Laboratory Demographics

CLIA Number: 18D0915391

Facility Name: DOUGLAS J NESBITT MD

Facility Address:
120 N EAGLE CREEK DR SUITE 460
LEXINGTON, KY
ZIP 40509
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Facility Phone Number: 859 263-7248

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1114916863

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	18D0915391
LAB Type	Physician Office
Facility Name	DOUGLAS J NESBITT MD
Street	120 N EAGLE CREEK DR SUITE 460
City	LEXINGTON
State	KY
ZIP	40509
Phone	859 263-7248
CertificateType	3
CertificateEffectiveDate	5/28/2022
CertificateExpirationDate	5/27/2024
FacilityType	PPMP

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