Bluegrass Medical Laboratory LLC

Key facts

NPI

1679019145

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Medical Laboratory 291U00000X

Legal business name

BLUEGRASS MEDICAL LABORATORY LLC

Practice address

1395 E Highway 60
Suite a
Hardinsburg, KY 40143-4896

Phone

(270) 580-4444

Fax

(270) 580-4444

NPI assigned

Jan 9, 2017

Organization subpart

No

Authorized official

Name

Mrs. Ashley Daum

Title

President

Phone

(270) 580-4444

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 9, 2017.

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1679019145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 E HIGHWAY 60",
            "address_2": "SUITE A",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401434896",
            "telephone_number": "270-580-4444",
            "fax_number": "270-580-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 E HIGHWAY 60",
            "address_2": "SUITE A",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401434896",
            "telephone_number": "270-580-4444",
            "fax_number": "270-580-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS MEDICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "DAUM",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-580-4444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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