Covenant Healthcare Lab

LBN: Covenant Healthcare Lab
Covenant Healthcare Lab is an health care organization with primary practice located at 3824 E Us Highway 90 , Lake City FL 32055-1407. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Covenant Healthcare Lab can be contacted via phone (386) 719-9915, or through Owen, Pat E via phone (352) 536-9270.

Contact Information

Primary practice address
3824 E Us Highway 90 Lake City FL 32055-1407
Phone: (386) 719-9915
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Owen, Pat E
Phone: (352) 536-9270

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1518144997
LBN Legal business name Covenant Healthcare Lab
DBA Doing business as
Authorized official Owen, Pat E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Mar 19th, 2014 - about 11 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 1518144997 NPPES
Florida Other AL320 MEDICARE PTAN

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