Provider Demographics
NPI:1871879221
Name:MEDCO RESEARCH INSTITUTE, L.L.C.
Entity type:Organization
Organization Name:MEDCO RESEARCH INSTITUTE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLEHUMEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-381-7210
Mailing Address - Street 1:1640 CENTURY CENTER PKWY
Mailing Address - Street 2:SUITE #101
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-8822
Mailing Address - Country:US
Mailing Address - Phone:901-381-7210
Mailing Address - Fax:901-214-3152
Practice Address - Street 1:10400 S US HIGHWAY 1
Practice Address - Street 2:SUITE # 500
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5600
Practice Address - Country:US
Practice Address - Phone:866-836-9936
Practice Address - Fax:888-640-2184
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDCO HEALTH SOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory