Nexus Lab 2.0 LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEXUS LAB 2.0 LLC

Practice address

128 Daniel Dr
Danville, KY 40422-2527

Phone

(270) 866-2635

NPI assigned

Jul 12, 2011

Organization subpart

Yes

Parent organization

PREMIERTOX 2.0 INCAs reported in NPPES

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

Authorized official

Name

Robert L. Bertram, D.O.NPI 1417008756

Title

Managing Member

Phone

(270) 866-8881

Specialties & licenses 1

Addresses

Part of

Premiertox Lab Albany

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Premiertox 2.0 Inc

  • Clinical Medical Laboratory
  • Danville, KY
  • NPI 1205124674

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert L. Bertram, D.O.

  • Internal Medicine Physician
  • Russell Springs, KY
  • NPI 1417008756
  NPD (past) Authorized official

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1679861678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406021038",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "270-866-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS LAB 2.0 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIERTOX 2.0 INC",
        "enumeration_date": "2011-07-12",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "270-866-8881",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Danville, KY
• Providers in Danville, 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 Oct 2, 2012; 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.