Provider Demographics
NPI:1225668049
Name:ADIS DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:ADIS DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-792-1420
Mailing Address - Street 1:PO BOX 910866
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40591-0866
Mailing Address - Country:US
Mailing Address - Phone:859-792-1420
Mailing Address - Fax:
Practice Address - Street 1:67 PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:KY
Practice Address - Zip Code:40444-1405
Practice Address - Country:US
Practice Address - Phone:859-792-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory