Affinicorp LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AFFINICORP LLC

Practice address

2307 River Rd
Suite 101
Louisville, KY 40206-5001

Phone

(502) 290-8728

Fax

(502) 849-0455

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Cory Clark

Title

President

Phone

(713) 202-9400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1851769020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 RIVER RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402065001",
            "telephone_number": "502-290-8728",
            "fax_number": "502-849-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 RIVER RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402065001",
            "telephone_number": "502-290-8728",
            "fax_number": "502-849-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINICORP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-202-9400"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aesthetic Plastic Surgery Institute of Louisville, LLC
• Aesthetic Specialists PLLC
• Aetna Better Health of Kentucky Insurance Company
• Juan Carlos Buling Afable, CRNA
• Alexander Yurievich Afanasyev, MD
• Affinity Rehabilitation, Inc.
• Affordable Dentures & Implants - Kentucky III PLLC
• Affordable Dentures & Implants - Kentucky, PLLC
• Kehinde Tinuade Afolabi, PHARMD
• Abena Afowaa, DO

• Clinical Medical Laboratory in Louisville, KY
• Providers in Louisville, 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 Nov 21, 2016; 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.