Vision Ky Idtf, LLC
NPI #1487013066 in Louisville, Kentucky
Provider Information
- NPI Number
- 1487013066
- Entity Type
- Organization
- Organization Name
- Vision Ky Idtf, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MMDS OF NORTH CAROLINA, INC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Feb 11, 2016
- Last Updated
- Mar 2, 2016
Practice Location
- Address
- 7321 NEW LA GRANGE RD
- Address 2
- SUITE 112
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40222-4800
- Phone
- (828) 242-0640
Authorized Official
- Name
- AMY BROOKMAN
- Title
- CORPORATE BUSINESS DEVELOPMENT
- Phone
- (423) 480-4087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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