Provider Demographics
NPI:1568506202
Name:UROLOGIC ASSOCIATES VERSAILLES
Entity Type:Organization
Organization Name:UROLOGIC ASSOCIATES VERSAILLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SLABAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-277-2280
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:SUITE C-405
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-277-2280
Mailing Address - Fax:859-277-4558
Practice Address - Street 1:115 CROSSFIELD DR STE A
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1845
Practice Address - Country:US
Practice Address - Phone:859-277-2280
Practice Address - Fax:859-277-4558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty