Organization Active NPI

Corbin Pathology Services PLLC

  • Clinical Medical Laboratory
  • Corbin, KY
National Provider Identifier
1639297724
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
18D0686904 Issued in KY
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

Updated by the provider on Mar 6, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3790135200MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.