Organization Active NPI

Office Park Diagnostics

  • Clinical Medical Laboratory
  • Lexington, KY
National Provider Identifier
1619082831
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OFFICE PARK DIAGNOSTICS
Practice address
1401 Harrodsburg Rd
B195
Lexington, KY 40504-3751
Phone
(859) 277-2873
Fax
(859) 278-5758
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Ms. Brooke Murray
Title
Insurance Manager
Phone
(859) 277-2873

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 160531 KY
Clinical Medical Laboratory 291U00000X KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd
B195
Lexington, KY 40504-3751

Mailing address

1401 Harrodsburg Rd
B195
Lexington, KY 40504-3751
Phone (859) 277-2873

Other identifiers 5

IdentifierTypeStateIssuer
000000073085OtherKYBLUE CROSS BLUE SHIELD
65916983MedicaidKY
000000061988OtherKYBLUE CROSS BLUE SHIELD
37901881MedicaidKY
CN1524OtherKYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1401 Harrodsburg Rd
Ste B160
Lexington, KY 40504
Phone (859) 276-4486

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1619082831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "B195",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-277-2873",
            "fax_number": "859-278-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "B195",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-277-2873",
            "fax_number": "859-278-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE PARK DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "859-277-2873",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "KY",
            "license": "160531",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000073085",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65916983",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000061988",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37901881",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN1524",
            "state": "KY"
        }
    ],
    "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 26, 2007; 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.