Organization Active NPI

Kentucky Fertility Laboratory, LLC

  • Clinical Medical Laboratory
  • Louisville, KY
National Provider Identifier
1639554785
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
291U00000X
Legal business name
KENTUCKY FERTILITY LABORATORY, LLC
Practice address
4612 Chamberlain LN
Louisville, KY 40241-1071
Phone
(615) 550-4900
NPI assigned
Jul 29, 2015
Organization subpart
Yes
Parent organization
KENTUCKY FERTILITY ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
James Cable
Title
Chief Strategy & Product Officer
Phone
(615) 550-4922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 291U00000X Primary

Addresses

Primary practice location

4612 Chamberlain LN
Louisville, KY 40241-1071

Mailing address

5000 Meridian Blvd
Suite 250
Franklin, TN 37067-6667
Phone (615) 550-4922

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2107504Kentucky Fertility Laboratory LLC4612 Chamberlain Lane, Ste 200, Louisville, KY 40241AccreditationMar 7, 2027

National Provider Directory

National Provider Directory
Part of
Kentucky Fertility Associates PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1639554785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MERIDIAN BLVD",
            "address_2": "SUITE 250",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676667",
            "telephone_number": "615-550-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 CHAMBERLAIN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411071",
            "telephone_number": "615-550-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY FERTILITY LABORATORY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENTUCKY FERTILITY ASSOCIATES, PLLC",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "CABLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF STRATEGY & PRODUCT OFFICER",
        "authorized_official_telephone_number": "615-550-4922"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "291U00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.