NPIMap

Organization Active NPI

Laboratory 247

  • Clinical Laboratory Director (Non-physician)
  • Louisville, KY
National Provider Identifier
1790378149
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
LABORATORY 247
Practice address
6540 Outer Loop Ste 1
Louisville, KY 40228-2000
Phone
(502) 536-6111
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Ms. Uneka Shervon KendrickNPI 1932761616
Title
Co-Owner
Phone
(502) 536-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193400000X SINGLE SPECIALTY GROUP 247ZC0005X Primary

Addresses

Primary practice location

6540 Outer Loop Ste 1
Louisville, KY 40228-2000

Mailing address

6540 Outer Loop Ste 1
Louisville, KY 40228-2000
Phone (502) 536-6111

National Provider Directory

National Provider Directory

Locations

6540 Outer Loop
Ste 1
Louisville, KY 40228
Phone (502) 536-6111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1790378149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 OUTER LOOP STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402282000",
            "telephone_number": "502-536-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 OUTER LOOP STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402282000",
            "telephone_number": "502-536-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY 247",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "UNEKA",
        "authorized_official_middle_name": "SHERVON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "502-536-6111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.