Active NPI
Corbin Pathology Services PLLC
- Clinical Medical Laboratory
- Corbin, KY
National Provider Identifier
1639297724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 18D0686904
- Legal business name
- CORBIN PATHOLOGY SERVICES PLLC
- Practice address
- 1460 Cumberland Falls Hwy
Corbin, KY 40701-2721 - Phone
- (606) 528-1259
- Fax
- (606) 528-4147
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Usha Patil, M.D
- Title
- Partner
- Phone
- (606) 528-1259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 18D0686904 | KY | Primary |
Addresses
Primary practice location
1460 Cumberland Falls Hwy
Corbin, KY 40701-2721
Mailing address
1460 Cumberland Falls Hwy
Corbin, KY 40701-2721
Phone (606) 528-1259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3790135200 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lexington, KY
- NPI 1477505642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1639297724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 CUMBERLAND FALLS HWY",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012721",
"telephone_number": "606-528-1259",
"fax_number": "606-528-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 CUMBERLAND FALLS HWY",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012721",
"telephone_number": "606-528-1259",
"fax_number": "606-528-4147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORBIN PATHOLOGY SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "PATIL",
"authorized_official_first_name": "USHA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "606-528-1259",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "KY",
"license": "18D0686904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3790135200",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.