Active NPI
Oliver Winston Lab LLC
- Clinical Medical Laboratory
- Lexington, KY
National Provider Identifier
1316494081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- OLIVER WINSTON LAB LLC
- Practice address
- 1618 Harrodsburg Rd
Lexington, KY 40504-3706 - Phone
- (859) 444-5790
- Fax
- (859) 444-5791
- NPI assigned
- Sep 9, 2016
- Last updated
- Jan 31, 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
- Dhaval Patel
- Title
- Partner
- Phone
- (859) 444-5790
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary | |
| Physiological Laboratory | 293D00000X | NU |
Addresses
Primary practice location
1618 Harrodsburg Rd
Lexington, KY 40504-3706
Mailing address
1618 Harrodsburg Rd
Lexington, KY 40504-3706
Phone (859) 444-5790
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27579 | Other | KY | COLA |
| 200376 | Other | KY | MEDICAL LABORATORY LICENSE |
| 18D2118830 | Other | KY | CLIA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lexington, KY
- NPI 1205061512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1316494081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 HARRODSBURG RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043706",
"telephone_number": "859-444-5790",
"fax_number": "859-444-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 HARRODSBURG RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043706",
"telephone_number": "859-444-5790",
"fax_number": "859-444-5791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVER WINSTON LAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-09",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DHAVAL",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "859-444-5790"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLA",
"identifier": "27579",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LABORATORY LICENSE",
"identifier": "200376",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "18D2118830",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.