NPIMap

Organization Active NPI

Nexus Lab, Inc.

  • Clinical Medical Laboratory
  • Middlesboro, KY
National Provider Identifier
1578873493
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEXUS LAB, INC.
Practice address
1814 Cumberland Avenue
Middlesboro Manor Shopping Center
Middlesboro, KY 40965
Phone
(865) 386-8454
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Robert L Bertram, D.O.
Title
President
Phone
(270) 866-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1814 Cumberland Avenue
Middlesboro Manor Shopping Center
Middlesboro, KY 40965

Mailing address

92 Joe T Pettey Drive
Russell Springs, KY 42642-8544
Phone (270) 866-8881

National Provider Directory

National Provider Directory
Tax ID family
Nexus Lab Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1578873493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 JOE T PETTEY DRIVE",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426428544",
            "telephone_number": "270-866-8881",
            "fax_number": "270-866-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 CUMBERLAND AVENUE",
            "address_2": "MIDDLESBORO MANOR SHOPPING CENTER",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "865-386-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-866-8881",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.