NPIMap

Organization Active NPI

Henderson Lab and Xray

  • Clinical Medical Laboratory
  • Henderson, KY
National Provider Identifier
1669648226
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
200135 Issued in KY
Legal business name
HENDERSON LAB AND XRAY
Practice address
1413 N Elm St
Henderson, KY 42420-2768
Phone
(270) 826-6277
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HEART GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Satyam Tatineni, MD
Title
President/the Heart Group
Phone
(812) 464-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 200135 KY Primary

Addresses

Primary practice location

1413 N Elm St
Henderson, KY 42420-2768

Mailing address

PO Box 3316
Evansville, IN 47732-3316
Phone (812) 464-0521

Other identifiers 1

IdentifierTypeStateIssuer
37903820MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
The Heart Group7 organizations share this tax ID, including this one
Part of
The Heart Group

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1669648226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3316",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477323316",
            "telephone_number": "812-464-0521",
            "fax_number": "812-464-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202768",
            "telephone_number": "270-826-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON LAB AND XRAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEART GROUP",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "TATINENI",
        "authorized_official_first_name": "SATYAM",
        "authorized_official_title_or_position": "PRESIDENT/THE HEART GROUP",
        "authorized_official_telephone_number": "812-464-0521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37903820",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.