Cpa Lab Clinic Associates Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

18D1066325 Issued in KY

Legal business name

CPA LAB CLINIC ASSOCIATES INC

Practice address

2307 Greene Way
Louisville, KY 40220

Phone

(502) 326-5845

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Misael Gonzalez

Title

Ceo

Phone

(502) 326-5845

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1356651574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 GRIFFITH PARK BLVD",
            "address_2": "STE 125",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GREENE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40220",
            "telephone_number": "502-326-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPA LAB CLINIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MISAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-326-5845"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "18D1066325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michele Coyle, LMT,CMLDT
• Tobey L Coyle, MD
• Dave Jay Coyne, L.AC.
• Killian Cavanaugh Coyne, MD
• Robert Cozzens
• Cpo PSC (Rx Advantage 001)
• Cpo PSC
• Courtney Crable, DPT
• Chelsea Crabtree
• Cynthia Sue Crabtree, D.O.

• Clinical Medical Laboratory in Louisville, KY
• Providers in Louisville, 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 Oct 21, 2010; 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.