Elite Clinical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ELITE CLINICAL LABORATORY

Practice address

111 S Hubbards LN Ste 1
Louisville, KY 40207-3937

Phone

(502) 457-6967

NPI assigned

Dec 2, 2019

Last updated

Dec 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krista Pfeiffer

Title

Owner

Phone

(502) 457-6965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1861039588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S HUBBARDS LN STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073937",
            "telephone_number": "502-457-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S HUBBARDS LN STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073937",
            "telephone_number": "502-457-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-457-6965"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elias
• Emily Elizabeth Elieff
• Jaseena Elikkottil, MD
• Ronald J. Elin, M.D., PHD
• Michelle Eileen Elisburg, MD
• Elite Performance Physical Therapy
• Elite Surgical Assistants, Inc
• Elite Testing Labs LLC
• Elizabeth Truman LLC
• Fatima Elkabti

• 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 Dec 17, 2020; 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.