Active NPI
Cumberland Medical Laboratories Inc
- Clinical Medical Laboratory
- Somerset, KY
National Provider Identifier
1669440533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 200055
- Legal business name
- CUMBERLAND MEDICAL LABORATORIES INC
- Practice address
- 401 Bogle St
Ste 205
Somerset, KY 42501 - Phone
- (606) 678-8800
- Fax
- (606) 679-5238
- NPI assigned
- Mar 8, 2006
- 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
- Marilyn Mason McMillen, MD
- Title
- President Medical Director
- Phone
- (606) 678-8800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 20206 | KY | |
| Clinical Medical Laboratory | 291U00000X | 200055 | KY | Primary |
Addresses
Primary practice location
401 Bogle St
Ste 205
Somerset, KY 42501
Mailing address
PO Box 3310
W Somerset, KY 42564
Phone (606) 678-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37902780 | Medicaid | KY | |
| 7100158200 | Medicaid | KY |
Other names 1
- Cumberland Medical Labs
National Provider Directory
National Provider DirectoryLocations
401 Bogle St
Ste 205
Somerset, KY 42503
Phone (606) 678-8800
Practitioners & 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
- Somerset, KY
- NPI 1477514883
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367971200000",
"number": "1669440533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3310",
"city": "W SOMERSET",
"state": "KY",
"postal_code": "42564",
"telephone_number": "606-678-8800",
"fax_number": "606-679-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BOGLE ST",
"address_2": "STE 205",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42501",
"telephone_number": "606-678-8800",
"fax_number": "606-679-5238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND MEDICAL LABORATORIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-08",
"last_updated": "2013-05-08",
"status": "A",
"authorized_official_last_name": "MCMILLEN",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "MASON",
"authorized_official_title_or_position": "PRESIDENT MEDICAL DIRECTOR",
"authorized_official_telephone_number": "606-678-8800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "20206",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "KY",
"license": "200055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37902780",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100158200",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cumberland Medical Labs",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Somerset, KY
- Cumberland Foot and Ankle Centers
- Cumberland Foot and Ankle Centers
- Cumberland Gastroenterology, P.S.C.
- Cumberland Gastroenterology, PSC
- Cumberland Lung & Sleep Specialists, PSC.
- Cumberland Nephrology
- Cumberland Otolaryngology Consultants, PSC
- Cumberland Pain Management, PLLC
- Cumberland Radiation Oncology, PSC
- Cumberland Surgical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.