Provider Demographics
NPI:1467740969
Name:KHM, LLC
Entity Type:Organization
Organization Name:KHM, LLC
Other - Org Name:SAGENEX LABS
Other - Org Type:Other Name
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-278-7186
Mailing Address - Street 1:308 FOUNDERS ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7759
Mailing Address - Country:US
Mailing Address - Phone:337-278-7186
Mailing Address - Fax:
Practice Address - Street 1:1379 CORPORATE SQUARE DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-3147
Practice Address - Country:US
Practice Address - Phone:985-718-1692
Practice Address - Fax:985-288-0295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory