Organization Active NPI

Lovely Veins Holistic Laboratory, LLC

  • Phlebotomy Technician
  • Richmond, KY
National Provider Identifier
1083397186
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
LOVELY VEINS HOLISTIC LABORATORY, LLC
Practice address
212 N 2ND St Ste 100
Richmond, KY 40475-1408
Phone
(502) 922-6653
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Authorized official

Name
Ms. Bridget Nicole Gordon, A.S. FMP, CCMA, HCM,
Title
Ceo-Clinical Director
Phone
(502) 922-6653

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

212 N 2ND St Ste 100
Richmond, KY 40475-1408

Mailing address

6844 Bardstown Rd Unit 2144
Louisville, KY 40291-3050
Phone (502) 922-6653

Other identifiers 1

IdentifierTypeStateIssuer
18D2277377OtherKYCLIA

National Provider Directory

National Provider Directory

Locations

1935 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 608-9858

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789257600000",
    "number": "1083397186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6844 BARDSTOWN RD UNIT 2144",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913050",
            "telephone_number": "502-922-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST STE 100",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751408",
            "telephone_number": "502-922-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELY VEINS HOLISTIC LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO-CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "502-922-6653",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "A.S. FMP, CCMA, HCM,"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "18D2277377",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.