Provider Demographics
NPI:1245828698
Name:HIGHLAND MEDICAL LABORATORY, LLC
Entity type:Organization
Organization Name:HIGHLAND MEDICAL LABORATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / DIRECTOR OF LAB OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KATRESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-228-2346
Mailing Address - Street 1:2301 NW FURMAN RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66618-2845
Mailing Address - Country:US
Mailing Address - Phone:785-228-2346
Mailing Address - Fax:785-228-2337
Practice Address - Street 1:2301 NW FURMAN RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66618-2845
Practice Address - Country:US
Practice Address - Phone:785-228-2346
Practice Address - Fax:785-228-2337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory