Southern Medical Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200129 Issued in KY

Legal business name

SOUTHERN MEDICAL LABORATORIES INC

Practice address

1407 N Race St Ste 3
Glasgow, KY 42141-3474

Phone

(270) 651-2989

Fax

(270) 651-7690

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Jill Geralds, BILLING SUPERVISOR

Title

Supervisor

Phone

(270) 651-2989

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1699789685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 N RACE ST STE 3",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413474",
            "telephone_number": "270-651-2989",
            "fax_number": "270-651-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N RACE ST STE 3",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413474",
            "telephone_number": "270-651-2989",
            "fax_number": "270-651-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "GERALDS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "270-651-2989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BILLING SUPERVISOR"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE NUMBER",
            "identifier": "18D0325975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM KENTUCKY BCBS",
            "identifier": "000000061985",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37901246",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Central Ky Orthopedics PSC
• Southern Kentucky Anesthesia Services PSC
• Southern Kentucky Anesthesia, LLC
• Southern Kentucky Hearing Aid Specialist
• Southern Kentucky Hearing Aid Specialist, Inc
• Patricia A Spears, APRN
• Spectrum Care Academy Glasgow I
• Katlin Spillman, APRN
• Leslie Brook Spillman, MS-CCC-SLP
• Spine Stop Glasgow, PLLC

• Clinical Medical Laboratory in Glasgow, KY
• Providers in Glasgow, 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 Aug 2, 2011; 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.