NPIMap

Organization Active NPI

Louisa Medical Clinic Lab & Xray

  • Clinical Medical Laboratory
  • Louisa, KY
National Provider Identifier
1861668394
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LOUISA MEDICAL CLINIC LAB & XRAY
Practice address
412 N Lock Ave
Louisa, KY 41230-1115
Phone
(606) 638-4595
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Marc Workman, LAB DIRECTORNPI 1598859464
Title
Lab Director
Phone
(606) 638-4595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

412 N Lock Ave
Louisa, KY 41230-1115

Mailing address

412 N Lock Ave
Louisa, KY 41230-1115
Phone (606) 638-4595

National Provider Directory

National Provider Directory

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": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1861668394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N LOCK AVE",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301115",
            "telephone_number": "606-638-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N LOCK AVE",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301115",
            "telephone_number": "606-638-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA MEDICAL CLINIC LAB & XRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "606-638-4595",
        "authorized_official_credential": "LAB DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.