New Lexington Clinic, PSC
Organization Active NPI Sleep Disorder Diagnostic Clinic/Center · Lexington, KY
NPI 1811097231 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1811097231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center 261QS1200X
- Legal business name
- NEW LEXINGTON CLINIC, PSC
- Practice address
- 1225 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4627
- Fax
- (859) 258-6127
- NPI assigned
- Sep 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NEW LEXINGTON CLINIC, PSC
Authorized official
- Name
- Kenny Craik
- Title
- Chief Financial Officer
- Phone
- (859) 258-4104
Corporate family (same tax ID) 17
Practitioners 1
-
David Michael Preston, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1042608 | Lexington Clinic-ASC | Provider-performed microscopy | Mar 17, 2027 |
National Provider Directory
- Tax ID family
- Jessamine Medical Inc
- Part of
- Jessamine Medical Inc
Locations
1225 S Broadway
Fl 2
Lexington, KY 40504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Yes |
Addresses
Primary practice location
1225 S Broadway
Lexington, KY 40504-2701
Mailing address
PO Box 11790
Lexington, KY 40578-1790
Phone (859) 258-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65923740 | Medicaid | KY |
Other names
- Lexington Clinic
Other providers in Lexington, KY
- New Lexington Clinic, PSC
- New Lexington Clinic, PSC
- New Lexington Clinic, PSC
- New Lexington Clinic, PSC
- New Lexington Clinic, PSC
- New Lexington Clinic, PSC
- New Lexington Clinic, PSC
- New Lexington Clinic, PSC
- New Lexington Clinic, PSC
- New Lexington Clinic, PSC
All providers in Lexington, KY · Sleep Disorder Diagnostic Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.