Lucid Diagnostics Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LUCID DIAGNOSTICS LABS LLC

Practice address

8628 Industrial Parkway
Unit E, Suite 107
Plain City, OH 43064-8069

Phone

(937) 421-8867

NPI assigned

Dec 30, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Maddy Narahari

Title

Owner

Phone

(419) 314-7398

Specialties & licenses 1

Addresses

Other names 1

• SV DIAGNOSTIC LAB Doing business as

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lucid Diagnostics Labs LLC

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1790482347

  O20230209001711

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Lucid Diagnostics Labs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lucid Diagnostics Labs LLC

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1790482347
  NPD tax ID

Locations

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

{
    "created_epoch": "1546128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1801368998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8628 INDUSTRIAL PKWY STE E",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430648069",
            "telephone_number": "937-421-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8628 INDUSTRIAL PARKWAY",
            "address_2": "UNIT E, SUITE 107",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430648069",
            "telephone_number": "937-421-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID DIAGNOSTICS LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-30",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "NARAHARI",
        "authorized_official_first_name": "MADDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-314-7398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SV DIAGNOSTIC LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hee Kim
• David H Lamberjack
• Christa Le, RD, CSR, LD
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• Jeanelle Rene Lucas, PHARMD
• M. C. Mobility Systems Inc.
• Rachel Martin
• Johana Nicole Matthews, PHARM.D,
• Sarah Maurizi
• Megan Maureen McBride, DO

• All providers in Plain City, OH
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.