Active NPI
Baptist Healthcare Affiliates, Inc.
Doing business as Baptist Health La Grange
- Clinical Medical Laboratory
- La Grange, KY
National Provider Identifier
1669692992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BAPTIST HEALTHCARE AFFILIATES, INC.
- Doing business as
- Baptist Health La Grange
- Practice address
- 1025 New Moody LN
La Grange, KY 40031-9154 - Phone
- (502) 222-5388
- NPI assigned
- Apr 27, 2007
- Last updated
- Feb 7, 2013
- 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
- Christopher Roty
- Title
- President
- Phone
- (502) 222-3329
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
1025 New Moody LN
La Grange, KY 40031-9154
Mailing address
PO Box 950219
Louisville, KY 40295-0219
Other names 1
- Baptist Health La Grange
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0030411 | Baptist Health, la Grange | Accreditation | Feb 27, 2027 |
| 18D2011137 | Baptist Health la Grange | Compliance | Nov 14, 2026 |
| 18D2126548 | Baptist Health la Grange | Certificate of waiver | Feb 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Baptist Healthcare Affiliates Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Baptist Hospital Northeast Pharmacy
- Pharmacy
- La Grange, KY
- NPI 1063542082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360195200000",
"number": "1669692992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950219",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 NEW MOODY LN",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400319154",
"telephone_number": "502-222-5388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST HEALTHCARE AFFILIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-27",
"last_updated": "2013-02-07",
"status": "A",
"authorized_official_last_name": "ROTY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-222-3329"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health La Grange",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Grange, KY
- Danielle Ball, MOTR/L
- Hilary Balzer
- Allison Banks, OTR/L
- Baptist Healthcare Affiliates (Baptist Hospital Northeast Pharmacy)
- Baptist Healthcare Affiliates, Inc (Baptist Northeast Hospitalists)
- Baptist Healthcare System Inc (Baptist Health Shared Services Pharmacy)
- Baptist Healthcare System Inc
- Baptist Healthcare System Inc
- Baptist Healthcare System Inc (Baptist Health La Grange Retail Pharmacy)
- Baptist Healthcare System, Inc (Baptist Health LaGrange)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.