Active NPI
Gravity Diagnostics, LLC
- Clinical Medical Laboratory
- Covington, KY
National Provider Identifier
1447601695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- GRAVITY DIAGNOSTICS, LLC
- Practice address
- 812 Russell St
Covington, KY 41011-3165 - Phone
- (859) 757-0158
- Fax
- (859) 581-4086
- NPI assigned
- Jun 29, 2016
- 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
- Anthony Remington
- Title
- Ceo
- Phone
- (727) 200-4882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
812 Russell St
Covington, KY 41011-3165
Mailing address
812 Russell St
Covington, KY 41011-3165
Phone (859) 757-0158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161117002716 | KY | Part B Supplier - Independent Clinical Laboratory | 6800175662 | Practice locations: Covington, 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 |
|---|---|---|---|
| 18D1100471 | Gravity Diagnostics, LLC | Accreditation | Feb 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
812 Russell St
Covington, KY 41011
Phone (855) 841-7111
632 Russell St
Covington, KY 41011
Phone 5134373000108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709251200000",
"number": "1447601695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 RUSSELL ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113165",
"telephone_number": "859-757-0158",
"fax_number": "859-581-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 RUSSELL ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113165",
"telephone_number": "859-757-0158",
"fax_number": "859-581-4086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAVITY DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-29",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A",
"authorized_official_last_name": "REMINGTON",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-200-4882"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.