Organization Active NPI

Labxperior Corporation

  • Clinical Medical Laboratory
  • Bowling Green, KY
National Provider Identifier
1124570213
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
18D2119297 Issued in KY
Legal business name
LABXPERIOR CORPORATION
Practice address
1043 Pedigo Way
Suite 15
Bowling Green, KY 42103-7196
Phone
(276) 321-7866
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Tina Ball, CEO
Title
Ceo
Phone
(276) 321-7866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 18D2119297 KY Primary

Addresses

Primary practice location

1043 Pedigo Way
Suite 15
Bowling Green, KY 42103-7196

Mailing address

1043 Pedigo Way
Suite 15
Bowling Green, KY 42103-7196
Phone (276) 321-7866

National Provider Directory

National Provider Directory

Locations

517 W Main St
Wise, VA 24293
Phone (276) 245-7016

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1124570213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 PEDIGO WAY",
            "address_2": "SUITE 15",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037196",
            "telephone_number": "276-321-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 PEDIGO WAY",
            "address_2": "SUITE 15",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037196",
            "telephone_number": "276-321-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABXPERIOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-321-7866",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "18D2119297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.