Organization Active NPI

Koligo Therapeutics, Inc.

  • Physiological Laboratory
  • Louisville, KY
National Provider Identifier
1093369381
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
KOLIGO THERAPEUTICS, INC.
Practice address
2401 Terra Crossing Blvd
Louisville, KY 40245-5371
Phone
(502) 265-4830
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Matthew Lehman
Title
Ceo
Phone
(502) 265-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2401 Terra Crossing Blvd
Louisville, KY 40245-5371

Mailing address

2401 Terra Crossing Blvd
Louisville, KY 40245-5371
Phone (502) 265-4830

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1093369381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TERRA CROSSING BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455371",
            "telephone_number": "502-265-4830"
        },
        {
            "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": "402455371",
            "telephone_number": "502-265-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLIGO THERAPEUTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-265-4830"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 25, 2019; 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.