Physicians Clinical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200254 Issued in KY

Legal business name

PHYSICIANS CLINICAL LABORATORY

Practice address

815 E Parrish Ave
Owensboro, KY 42303-3222

Phone

(270) 688-1200

Fax

(270) 688-1204

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bill Kelly

Title

Office Manager

Phone

(270) 688-1225

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Owensboro Internal Medicine Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Owensboro Internal Medicine Associates

  • Specialist
  • Owensboro, KY
  • NPI 1255335774
  NPD tax ID

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477557882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033222",
            "telephone_number": "270-688-1200",
            "fax_number": "270-688-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033222",
            "telephone_number": "270-688-1200",
            "fax_number": "270-688-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-688-1225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "000000229569",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Phillips, MS, LAT, ATC
• Sarah B Phillips
• Physician Management Services of Western Kentucky, LLC
• Physicians Affiliated Care P.S.C.
• Physicians Affiliated Care, PSC
• Physicians Eye Center of Owensboro, PSC
• Holly Marie Pickrell, DMD
• Casey Pierce, DPT
• Joe Bob Pierce Jr., L.M.F.T.
• Charity Pinkston, PHYSICAL THERAPIST

• Clinical Medical Laboratory in Owensboro, KY
• Providers in Owensboro, 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 Aug 22, 2020; 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.