BLUEGRASS MOBILE MEDICAL SERVICESLLC NPI 1932631629

NPI Information

BLUEGRASS MOBILE MEDICAL SERVICES,LLC is a family nurse practitioner in Lexington, KY. BLUEGRASS MOBILE MEDICAL SERVICES,LLC NPI is 1932631629. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

168 E REYNOLDS RD STE 130
LEXINGTON, KY
ZIP 40517-317
Phone: (859) 554-5067
Fax: (859) 818-0324

The provider's authorized official is Jane Alan Owens .
The authorized official title is Owner,administrator and has the following contact phone number (859) 797-1112.

The CLIA number assigned to this NPI record is 18D2130687 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2017 and was last updated on 3/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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