Owensboro Medical Practice Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200274 Issued in KY

Legal business name

OWENSBORO MEDICAL PRACTICE LABORATORY

Practice address

1200 Breckenridge St
Ste 101
Owensboro, KY 42303-1089

Phone

(270) 683-8672

Fax

(270) 685-8233

NPI assigned

May 28, 2008

Organization subpart

Yes

Parent organization

OWENSBORO MEDICAL PRACTICEAs reported in NPPES

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

Authorized official

Name

Dr. Kishor N Vora, MD,FACC,FSCAINPI 1992753727

Title

Ceo

Phone

(270) 683-8672

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

Part of

Owensboro Heart Vascular

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kishor N Vora, M.D.

  • Cardiovascular Disease Physician
  • Owensboro, KY
  • NPI 1992753727
  Authorized official Same address or phone

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1487812384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "address_2": "STE 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-683-8672",
            "fax_number": "270-685-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "address_2": "STE 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-683-8672",
            "fax_number": "270-685-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO MEDICAL PRACTICE LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OWENSBORO MEDICAL PRACTICE",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-683-8672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,FACC,FSCAI"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851315105",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64287535",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Owensboro Ky Opco LLC (Chautauqua Health and Rehabilitation)
• Owensboro Medical Center Laboratory, Inc (Owensboro Medical Center Lab)
• Owensboro Medical Health System
• Owensboro Medical Internists PSC
• Owensboro Medical Practice
• Owensboro Medical Practice, PLLC (Tristate Diagnostic Laboratory)
• Owensboro Medical Practice, PLLC
• Owensboro Medical Practice, PLLC
• Owensboro Orthopedic Clinic Inc
• Owensboro Pathology PSC

• 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 May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.