NPI 1780096180

Ez Tubz LLC

Organisation Preferred Provider Organization Louisville, KY

Practice location

Address: 2207 Crums Ln, Louisville, KY 40216-4253
Phone: (502) 290-5248

Authorised official

Name: Roshon Renee Blakey
Title: Owner
Phone: (502) 290-5248

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1780096180
Entity type: Organization
NPI issued: 20 May 2014
Record last updated: 20 May 2014

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.