Organization Active NPI

Gravity Diagnostics, LLC

  • Clinical Medical Laboratory
  • Covington, KY
National Provider Identifier
1447601695
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Mar 1, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20161117002716 KY Part B Supplier - Independent Clinical Laboratory 6800175662 Practice locations: Covington, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1100471Gravity Diagnostics, LLC812 Russell Street, Covington, KY 41011AccreditationFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.