Organization Active NPI

Ssa Ventures, LLC

  • Clinical Medical Laboratory
  • Jeffersonville, IN
National Provider Identifier
1215527668
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SSA VENTURES, LLC
Practice address
1714 Charlestown New Albany Rd
Jeffersonville, IN 47130-9708
Phone
(812) 271-4240
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Shawn Honaker
Title
Owner
Phone
(502) 377-4751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1714 Charlestown New Albany Rd
Jeffersonville, IN 47130-9708

Mailing address

7000 Airport Dr
Sellersburg, IN 47172-2033

Other identifiers 1

IdentifierTypeStateIssuer
300049149MedicaidIN

Other names 1

  • AirBioLab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1215527668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 AIRPORT DR",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471722033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 CHARLESTOWN NEW ALBANY RD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309708",
            "telephone_number": "812-271-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSA VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "HONAKER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-377-4751"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300049149",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AirBioLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.