NPIMap

Organization Active NPI

Owensboro Medical Practice, PLLC

  • Clinical Medical Laboratory
  • Owensboro, KY
National Provider Identifier
1164075248
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OWENSBORO MEDICAL PRACTICE, PLLC
Practice address
2754 Veach Rd
Owensboro, KY 42303-6219
Phone
(270) 852-7771
Fax
(270) 852-7773
NPI assigned
Jul 18, 2019
Organization subpart
Yes
Parent organization
OWENSBORO MEDICAL PRACTICE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Frances Michele Beyke
Title
Administration
Phone
(270) 683-8672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2754 Veach Rd
Owensboro, KY 42303-6219

Mailing address

1200 Breckenridge St Ste 100
Owensboro, KY 42303-1089
Phone (270) 683-8672

Other names 2

  • Owensboro Medical Practice, PLLC Doing business as
  • Tristate Diagnostic Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Owensboro Heart Vascular4 organizations share this tax ID, including this one
Part of
Owensboro Heart Vascular

Other organizations with this tax ID 3

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

Locations

1200 Breckenridge St
Ste 100
Owensboro, KY 42303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1164075248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST STE 100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-683-8672",
            "fax_number": "270-685-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036219",
            "telephone_number": "270-852-7771",
            "fax_number": "270-852-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OWENSBORO MEDICAL PRACTICE, PLLC",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "BEYKE",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "270-683-8672"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owensboro Medical Practice, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tristate Diagnostic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.