Pikeville Medical Building Lab., Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200148 Issued in KY

Legal business name

PIKEVILLE MEDICAL BUILDING LAB., INC.

Practice address

387 Town Mountain Rd
Suite 203
Pikeville, KY 41501-1640

Phone

(606) 432-1266

Fax

(606) 432-1944

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ellen K Hall, BSMT(ASCP)

Title

Owner-Operator

Phone

(606) 432-1266

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649332925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2529",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022529",
            "telephone_number": "606-432-1266",
            "fax_number": "606-432-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 TOWN MOUNTAIN RD",
            "address_2": "SUITE 203",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011640",
            "telephone_number": "606-432-1266",
            "fax_number": "606-432-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE MEDICAL BUILDING LAB., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER-OPERATOR",
        "authorized_official_telephone_number": "606-432-1266",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSMT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37000197",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL CLAIM PROVIDER",
            "identifier": "4004601-5801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS PROVIDER NUMVER",
            "identifier": "000000190221",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pikeville Independent School
• Pikeville Medical Center Inc
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• Pikeville Medical Center Inc
• Pikeville Medical Center Inc

• Clinical Medical Laboratory in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.