Organization Active NPI

Taylor Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Owensboro, KY
National Provider Identifier
1407902422
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
X18214 Issued in KY
Legal business name
TAYLOR DIAGNOSTIC LABORATORY
Doing business as
LINCOLN CLINICAL LABORATORY
Practice address
2200 E Parrish Ave
BLD #C Suite 101
Owensboro, KY 42303-1449
Phone
(270) 683-8727
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Mr. Hugh R Taylor
Title
Owner
Phone
(270) 683-8727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X X18214 KY Primary

Addresses

Primary practice location

2200 E Parrish Ave
BLD #C Suite 101
Owensboro, KY 42303-1449

Mailing address

PO Box 22194
Owensboro, KY 42304-2194
Phone (270) 683-8727

Other identifiers 2

IdentifierTypeStateIssuer
000000061991OtherKSANTHEM
37901238MedicaidKY

Other names 1

  • LINCOLN CLINICAL LABORATORY Doing business as

National Provider Directory

National Provider Directory

Locations

2816 Veach Rd
Ste 102
Owensboro, KY 42303
Phone (270) 684-1145

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1407902422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22194",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423042194",
            "telephone_number": "270-683-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BLD #C SUITE 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-683-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-683-8727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "X18214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000061991",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37901238",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN CLINICAL LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.