Organization Active NPI

Lexington Diabetic Center, PSC

  • Primary Care Clinic/Center
  • Lexington, KY
National Provider Identifier
1558510826
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LEXINGTON DIABETIC CENTER, PSC
Practice address
3292 Eagle View LN
Ste 260
Lexington, KY 40509-2173
Phone
(859) 278-8855
Fax
(859) 278-8856
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mrs. Kimberly M Lawson, MBA
Title
Coo
Phone
(859) 278-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3292 Eagle View LN
Ste 260
Lexington, KY 40509-2173

Mailing address

1401 Harrodsburg Rd
Ste C 115
Lexington, KY 40504-3751
Phone (859) 278-8855

National Provider Directory

National Provider Directory
Tax ID family
Lexington Diabetic Center PSC2 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.

Locations

1401 Harrodsburg Rd
Ste C115
Lexington, KY 40504
Phone (859) 977-1023

3292 Eagle View Ln
Ste 260
Lexington, KY 40509

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1558510826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "STE C 115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-278-8855",
            "fax_number": "859-278-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 EAGLE VIEW LN",
            "address_2": "STE 260",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092173",
            "telephone_number": "859-278-8855",
            "fax_number": "859-278-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON DIABETIC CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "859-278-8855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.