Mayfair Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA 1800326342 Issued in KY

Legal business name

MAYFAIR LABORATORY LLC

Practice address

2315 Mayfair Drive
Suite #2
Owensboro, KY 42301

Phone

(270) 684-6242

Fax

(270) 684-6243

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William James Law, MEDICAL TECHNOLOGIST

Title

Owner Manager

Phone

(270) 684-6242

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1790839223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MAYFAIR DRIVE",
            "address_2": "SUITE #2",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-684-6242",
            "fax_number": "270-684-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MAYFAIR DRIVE",
            "address_2": "SUITE #2",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42301",
            "telephone_number": "270-684-6242",
            "fax_number": "270-684-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "270-684-6242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MEDICAL TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "CLIA 1800326342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37000817",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skylar Lee Mattingly, DNP, APRN, FNP-C
• Jackson Patrick Maurer
• Maxey Speech Pathology, LLC
• Elise Brianne Maxey, LPCC
• Sarahanne Marie Maxey, MS CCC-SLP
• Mayfair Pharmacy Inc
• Gary D Mayfield, PA-C
• Michelle L Mayfield, LMFT
• Randall Dean Mayfield, PHD
• Simone Mayfield, APRN

• Clinical Medical Laboratory in Owensboro, KY
• Providers in Owensboro, 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 Jan 11, 2010; 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.