Archer Clinic Laboratory

LBN: Archer Clinic Laboratory
Archer Clinic Laboratory is an health care organization with primary practice located at 400 University Dr Suite 105, Prestonsburg KY 41653-1080. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Archer Clinic Laboratory can be contacted via phone (606) 886-6302, or through Gilliam, Noel Marie via phone (606) 886-6302.

Contact Information

Primary practice address
400 University Dr Suite 105 Prestonsburg KY 41653-1080
Phone: (606) 886-6302
Fax: (606) 886-0597
Website:
Map and Directions
Authorized official contact:
Name: Gilliam, Noel Marie
Phone: (606) 886-6302

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 200111 Kentucky

Profile Details

NPI number 1295736841
LBN Legal business name Archer Clinic Laboratory
DBA Doing business as
Authorized official Gilliam, Noel Marie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2005
Last updated Dec 31st, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295736841 NPPES
Kentucky MEDICAID 37901055

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