Provider Demographics
NPI:1437536240
Name:HOSKINS LAB LLC
Entity Type:Organization
Organization Name:HOSKINS LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-862-7000
Mailing Address - Street 1:1120 REUBEN ST
Mailing Address - Street 2:ROOM A
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-1074
Mailing Address - Country:US
Mailing Address - Phone:606-862-7000
Mailing Address - Fax:606-862-6552
Practice Address - Street 1:1120 REUBEN ST
Practice Address - Street 2:ROOM A
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1074
Practice Address - Country:US
Practice Address - Phone:606-862-7000
Practice Address - Fax:606-862-6552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY27361207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty