Lourdes Medical Pavilion, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

730026 Issued in KY

Legal business name

LOURDES MEDICAL PAVILION, LLC

Doing business as

Paducah Diagnostic Center

Practice address

225 Medical Center Dr
Paducah, KY 42003-7914

Phone

(270) 441-4100

Fax

(270) 441-4171

NPI assigned

Sep 13, 2005

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda G Dycus

Title

Billing Office Manager

Phone

(270) 441-4125

Specialties & licenses 1

Addresses

Other names 1

• Paducah Diagnostic Center Doing business as

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

CLIA laboratory certificates

Tax ID family

Lourdes Medical Pavilion LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Lourdes Medical Pavilion

  • Ambulatory Surgical Clinic/Center
  • Paducah, KY
  • NPI 1386826261
  NPD tax ID
• Lourdes Medical Pavilion, LLC

  dba Lyon County Family Care

  • Family Medicine Physician
  • Kuttawa, KY
  • NPI 1528058377
  NPD tax ID
• Lourdes Medical Pavilion, LLC

  dba LMP Anesthesia Department

  • Certified Registered Nurse Anesthetist
  • Paducah, KY
  • NPI 1861610156
  NPD tax ID

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1144215591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4100",
            "fax_number": "270-441-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4100",
            "fax_number": "270-441-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES MEDICAL PAVILION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "DYCUS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "270-441-4125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "KY",
            "license": "730026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paducah Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Losser, LPA
• Lourdes Ambulatory Surgery Center LLC
• Lourdes Ambulatory Surgery Center, LLC (LMP Anesthesia Department)
• Lourdes Hospital
• Lourdes Medical Pavilion
• Lourdes Medical Pavilion, LLC (LMP Anesthesia Department)
• Love Right at Home, LLC
• Riley D Love, MD
• Kimberly J Lovell, APRN
• Richard J Lovell

• Physiological Laboratory in Paducah, KY
• Providers in Paducah, KY by specialty
• Physiological Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.