Active NPI
Nexus Lab Inc
- Clinical Medical Laboratory
- Columbia, KY
National Provider Identifier
1447581558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NEXUS LAB INC
- Practice address
- 1463 Campbellsville Rd
Columbia, KY 42728-2263 - Phone
- (270) 384-9934
- NPI assigned
- Jan 29, 2010
- 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
- Robert L Bertram, D.O.
- Title
- President
- Phone
- (270) 866-8881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1463 Campbellsville Rd
Columbia, KY 42728-2263
Mailing address
92 Joe T Petty Dr
Suite 400
Russell Springs, KY 42642-8544
Phone (270) 866-8896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100118690 | Medicaid | KY |
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.
-
- Emergency Medicine Physician
- Danville, KY
- NPI 1619995552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286150400000",
"number": "1447581558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 JOE T PETTY DR",
"address_2": "SUITE 400",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426428544",
"telephone_number": "270-866-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1463 CAMPBELLSVILLE RD",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427282263",
"telephone_number": "270-384-9934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXUS LAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-29",
"last_updated": "2010-10-04",
"status": "A",
"authorized_official_last_name": "BERTRAM",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-866-8881",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100118690",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.