Synchrony Lab Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SYNCHRONY LAB SERVICES, LLC

Practice address

3600 Chamberlain LN Ste 336
Louisville, KY 40241-1997

Phone

(502) 266-2529

NPI assigned

Sep 23, 2021

Last updated

Jul 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Trent Blacketer, PHARMD

Title

VP of Operations Finance

Phone

(502) 308-1506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Lynch, PHARMD

  • Geriatric Pharmacist
  • Louisville, KY
  • NPI 1518563352
  NPD

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1710658497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CHAMBERLAIN LN STE 336",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411997",
            "telephone_number": "502-308-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CHAMBERLAIN LN STE 336",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411997",
            "telephone_number": "502-266-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONY LAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "BLACKETER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "VP OF OPERATIONS FINANCE",
        "authorized_official_telephone_number": "502-308-1506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Synergy Rehabilitation
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• Clinical Medical Laboratory in Louisville, KY
• Providers in Louisville, 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 Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.