NPIMap

Organization Active NPI

Uofl Health-Louisville Inc

  • Clinical Medical Laboratory
  • Louisville, KY
National Provider Identifier
1063100402
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UOFL HEALTH-LOUISVILLE INC
Practice address
2401 Terra Crossing Blvd
Louisville, KY 40245-5395
Phone
(502) 210-4200
NPI assigned
Apr 25, 2023
Organization subpart
Yes
Parent organization
UOFL HEALTH-LOUISVILLE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Daniel Miller
Title
Ceo
Phone
(502) 562-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2401 Terra Crossing Blvd
Louisville, KY 40245-5395

Mailing address

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-4004

Other names 1

  • UofL Outreach Laboratory Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2195796University of Louisville Physicians2401 Terra Crossing Blvd Suite 100, Louisville, KY 40245Certificate of waiverOct 12, 2026
18D2260658Institute for Reproductive Health2401 Terra Crossing Blvd Suite 325, Louisville, KY 40245Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Uofl Health-Louisville Inc29 organizations share this tax ID, including this one
Part of
Uofl Health-Louisville Inc

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1063100402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-562-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 TERRA CROSSING BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455395",
            "telephone_number": "502-210-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UOFL HEALTH-LOUISVILLE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UOFL HEALTH-LOUISVILLE INC",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-562-4004"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UofL Outreach Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.