Provider Demographics
NPI:1831457340
Name:NIGHT HAWKS INVESTMENT COMPANY
Entity Type:Organization
Organization Name:NIGHT HAWKS INVESTMENT COMPANY
Other - Org Name:NIGHT HAWKS INVESTMENT COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLOW
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-897-1902
Mailing Address - Street 1:2853 REGAN AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-1329
Mailing Address - Country:US
Mailing Address - Phone:502-897-1902
Mailing Address - Fax:
Practice Address - Street 1:1463 CAMPBELLSVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-2263
Practice Address - Country:US
Practice Address - Phone:270-384-9934
Practice Address - Fax:270-384-2823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory