Organization Active NPI

Elite Testing Labs LLC

  • Clinical Medical Laboratory
  • Louisville, KY
National Provider Identifier
1861203747
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ELITE TESTING LABS LLC
Practice address
4125 S 3Rd St
Louisville, KY 40214-1617
Phone
(502) 205-1299
Fax
(502) 362-1201
NPI assigned
Jan 18, 2025
Last updated
Jan 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Authorized official

Name
Sadia Amin, RNNPI 1326859208
Title
Lab Director
Phone
(502) 205-1299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4125 S 3Rd St
Louisville, KY 40214-1617

Mailing address

4125 S 3Rd St
Louisville, KY 40214-1617

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2317443Elite Testing Labs LLC4125 South 3Rd Street Suite #6, Louisville, KY 40214Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Locations

4125 S 3rd St
Louisville, KY 40214
Phone (502) 205-1299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737158400000",
    "number": "1861203747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141617",
            "telephone_number": "502-205-1299",
            "fax_number": "502-362-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TESTING LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SADIA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "502-205-1299",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.