NPI 1487013066

Vision Ky Idtf, LLC

Organisation Physiological Laboratory Louisville, KY

Practice location

Address: 7321 New La Grange Rd Suite 112, Louisville, KY 40222-4800
Phone: (828) 242-0640
Mailing address: 3011 Harrah Dr Suite L, Spring Hill, TN 37174-6252

Authorised official

Name: Amy Brookman
Title: Corporate Business Development
Phone: (423) 480-4087

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1487013066
Entity type: Organization
NPI issued: 11 Feb 2016
Record last updated: 2 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.