Provider Demographics
NPI:1356022404
Name:RAPIDMED LABS
Entity type:Organization
Organization Name:RAPIDMED LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-746-6330
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:BROOKS
Mailing Address - State:KY
Mailing Address - Zip Code:40109-0734
Mailing Address - Country:US
Mailing Address - Phone:502-277-5170
Mailing Address - Fax:
Practice Address - Street 1:2508 SCOTTSVILLE RD STE 104
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-4400
Practice Address - Country:US
Practice Address - Phone:270-746-6330
Practice Address - Fax:270-912-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory