NPIMap

Organization Active NPI

Jewish Hospital & St. Mary's Healthcare, Inc.

Doing business as Jewish Hospital Lab

  • Clinical Medical Laboratory
  • Louisville, KY
National Provider Identifier
1811042252
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Doing business as
Jewish Hospital Lab
Practice address
200 Abraham Flexner Way
Louisville, KY 40202-1818
Phone
(502) 587-4331
NPI assigned
Jan 24, 2007
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Ronald Farr
Title
Chief Financial Officer
Phone
(502) 540-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

200 Abraham Flexner Way
Louisville, KY 40202-1818

Mailing address

PO Box 2587
Louisville, KY 40201-2587
Phone (502) 587-4011

Other identifiers 1

IdentifierTypeStateIssuer
18D0320857OtherKYCLIA

Other names 1

  • Jewish Hospital Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jewish Hospital Healthcar22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1811042252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012587",
            "telephone_number": "502-587-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021818",
            "telephone_number": "502-587-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-540-3888"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "18D0320857",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Hospital Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2012; 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.