Bullitt County Sleep Disordrs Lab

NPI #1528115508 in Shepherdsville, Kentucky

Provider Information

NPI Number: 1528115508
Entity Type: Organization
Organization Name: Bullitt County Sleep Disordrs Lab
Primary Specialty: Technician, Other
Enumeration Date: Jan 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 815 JOHN HARPER RD
Address 2: SUITE 6
City: Shepherdsville
State: Kentucky
ZIP Code: 40165-7463
Phone: (502) 957-0317

Authorized Official

Name: RAY H. HACK, CRT
Title: PRESIDENT
Phone: (502) 957-0317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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