Active NPI
Recovery Laboratory LLC
- Clinical Medical Laboratory
- Danville, KY
National Provider Identifier
1003166224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- RECOVERY LABORATORY LLC
- Practice address
- 461 S 4TH St
Danville, KY 40422-2053 - Phone
- (859) 236-7913
- NPI assigned
- Sep 14, 2012
- Last updated
- Dec 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Durham, MANAGING MEMBER
- Title
- Managing Member
- Phone
- (859) 605-6390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
461 S 4TH St
Danville, KY 40422-2053
Mailing address
PO Box 1430
Frankfort, KY 40602-1430
Phone (502) 226-3858
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355875200000",
"number": "1003166224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406021430",
"telephone_number": "502-226-3858",
"fax_number": "502-223-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 S 4TH ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222053",
"telephone_number": "859-236-7913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY LABORATORY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-14",
"last_updated": "2012-12-19",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "859-605-6390",
"authorized_official_credential": "MANAGING MEMBER"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.