Active NPI
MD Analysis LLC
- Clinical Medical Laboratory
- Hazard, KY
National Provider Identifier
1295276871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MD ANALYSIS LLC
- Practice address
- 1452 E Main St
Hazard, KY 41701-2041 - Phone
- (606) 487-0523
- Fax
- (606) 487-0531
- NPI assigned
- Mar 15, 2017
- Last updated
- Dec 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul E Davidson
- Title
- Owner
- Phone
- (606) 487-0523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1452 E Main St
Hazard, KY 41701-2041
Mailing address
PO Box 2144
Hazard, KY 41702-2144
Phone (606) 487-0523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240912001036 | KY | Part B Supplier - Independent Clinical Laboratory | 5890062251 | Practice locations: Hazard, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2128144 | MD Analysis, LLC | Accreditation | Jan 15, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Hazard, KY
- NPI 1134972128
-
- Physical Therapist
- Jeremiah, KY
- NPI 1881420834
-
- Speech-Language Pathologist
- Hazard, KY
- NPI 1578347910
-
- Occupational Therapist
- Hazard, KY
- NPI 1306625421
-
- Speech-Language Pathologist
- Hazard, KY
- NPI 1285016980
-
- Physical Therapist
- Lexington, KY
- NPI 1205494754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1295276871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2144",
"city": "HAZARD",
"state": "KY",
"postal_code": "417022144",
"telephone_number": "606-487-0523",
"fax_number": "606-487-0531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 E MAIN ST",
"city": "HAZARD",
"state": "KY",
"postal_code": "417012041",
"telephone_number": "606-487-0523",
"fax_number": "606-487-0531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD ANALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-15",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-487-0523"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.