Design, Construction & Development Experts
E Tabb Design Construction & Development, LLC is a healthcare-focused commercial general contractor based in Louisville, Kentucky. We deliver ground-up healthcare facilities, additions, and renovations, including projects within active hospital environments, through design/build, general contracting, and construction management. We self-perform critical scopes of work and own affiliated companies in casework manufacturing and commercial HVAC, which gives us direct control over quality and schedule. E Tabb is a certified woman-owned business, holding WBENC, SBA WOSB, and MBE certifications. We serve clients throughout Kentucky, Indiana, Ohio, Tennessee, Georgia, Florida and Texas.

Ground-up, build-to-suit, tenant fit-ups, and expansions

Our Services
General Contracting
Our Services
Construction Management
Design/build
Reliable & Dedicated Contractors
- General contracting
- Design/build
- Construction/project management
- Land development
- Ground-up, new construction, build-to-suit
- Tenant fit-ups
- Expansions
- Building renovations
- Healthcare facility construction: ground-up, additions, and renovations in active healthcare environments
- Commercial office construction
- Self-performance capabilities including:
- • Select Demolition • Sitework • Concrete
• Metal Stud Framing • Rough Carpentry • Drywall
• Acoustical Ceiling • Casework/Millwork Installation
- • Select Demolition • Sitework • Concrete
- HVAC/Mechanical
- Sister companies in medical-grade casework and solid surface manufacturing, and in commercial HVAC
What Sets Us Apart
We believe personal, hands-on management is the cornerstone of our comprehensive design/build services. Each project is expertly handled to balance budgets, value, and speed.
We specialize in healthcare construction.
Healthcare construction is complex, and every environment carries its own specifications and standards. From ground-up surgery centers to renovations inside active hospitals, we bring years of healthcare-specific experience to the design, phasing, and construction of every project, including infection control awareness, MEP coordination, and keeping occupied facilities in operation.
We control the work that matters most.
We self-perform critical scopes, from demolition and framing through drywall, casework, and HVAC, and coordinate the remaining scopes through trusted trade partners. That direct control is how we deliver compressed schedules, on budget, with minimal change orders. We call this approach Critical Scope Delivery.
We have an outside stakeholder perspective.
We see ourselves as a stakeholder in each client’s success. Cost, speed and functionality are priorities from initial design to turnover, so your facility opens on time and performs the way your operation needs it to.
We are family-owned.
Our family-owned structure gives clients direct access to decision-makers on every project. It’s why we’ve built long-term relationships with clients, subcontractors, and partners.
Testimonials






