Combined Physicians Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COMBINED PHYSICIANS LAB LLC

Practice address

3945 Simpson LN
Richmond, KY 40475-9113

Phone

(859) 353-8464

Fax

(855) 704-1599

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

James Bailey

Title

Managing Partner

Phone

(859) 353-8464

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Integrated DX LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1265620223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 SIMPSON LN",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759113",
            "telephone_number": "859-353-8464",
            "fax_number": "855-704-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 SIMPSON LN",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759113",
            "telephone_number": "859-353-8464",
            "fax_number": "855-704-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMBINED PHYSICIANS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "859-353-8464"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "220001795",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37901212",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000000061984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated DX LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodney Dean Coleman, DMD
• Krista Beth Collier, PHARMD
• William Matthew Collier, M.D.
• Erika Collins, PHARMD
• Lynn Kibbons Collins, PT
• Brittany Combs, APRN
• Linda Sue Comley, M.ED.
• Commonwealth Urology Richmond
• Chastity Conley
• Erica C Conley, MS

• Clinical Medical Laboratory in Richmond, KY
• Providers in Richmond, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.