Individual provider Active NPI

Preetpal Singh Sidhu, PHD

  • Laboratory Management Specialist/Technologist
  • Nicholasville, KY
National Provider Identifier
1093217309
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X
Practice address
110 Dewey Dr Ste a
Nicholasville, KY 40356-7124
Phone
(844) 550-0308
NPI assigned
Mar 2, 2018
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Laboratory Management Specialist/Technologist 246QL0900X NU Primary

Addresses

Primary practice location

110 Dewey Dr Ste a
Nicholasville, KY 40356-7124

Mailing address

3008 Old Field Way
Lexington, KY 40513-1721
Phone (844) 550-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
DX Solutions, LLC CurrentSince Mar 16, 2021 Accepting new patients
Solaris DX, LLC Current Accepting new patients
Choice Diagnostic Lab Current Accepting new patients

Locations

110 Dewey Dr
Ste A
Nicholasville, KY 40356
Phone (844) 550-0308

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1093217309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 OLD FIELD WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131721",
            "telephone_number": "844-550-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DEWEY DR STE A",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403567124",
            "telephone_number": "844-550-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "PREETPAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.