18D1048485 CLIA NUMBER - BLUEGRASS MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 18D1048485

Facility Name: BLUEGRASS MEDICAL ASSOCIATES

Facility Address:
2425 NEWHOLT RD
PADUCAH, KY
ZIP 42001
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Facility Phone Number: 270 441-4850

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881740884

Taxonomy: 207N00000X - Dermatology
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

CLIA Record

Field Name Field Value
CLIA Number 18D1048485
LAB Type Physician Office
Facility Name BLUEGRASS MEDICAL ASSOCIATES
Street 2425 NEWHOLT RD
City PADUCAH
State KY
ZIP 42001
Phone 270 441-4850
CertificateType 4
CertificateEffectiveDate 12/2/2023
CertificateExpirationDate 12/1/2025
FacilityType Waiver

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