Active NPI
Highlands Medical Partners I LLC
- Clinical Medical Laboratory
- Prestonsburg, KY
National Provider Identifier
1871734913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HIGHLANDS MEDICAL PARTNERS I LLC
- Practice address
- 400 University Dr
Suite 102
Prestonsburg, KY 41653-1080 - Phone
- (606) 886-7094
- Fax
- (606) 886-7092
- NPI assigned
- Mar 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jack Blackwell
- Title
- Cfo
- Phone
- (606) 886-7548
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
400 University Dr
Suite 102
Prestonsburg, KY 41653-1080
Mailing address
PO Box 566
Prestonsburg, KY 41653-0566
Phone (606) 886-7094
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310083200000",
"number": "1871734913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 566",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416530566",
"telephone_number": "606-886-7094",
"fax_number": "606-886-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 UNIVERSITY DR",
"address_2": "SUITE 102",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531080",
"telephone_number": "606-886-7094",
"fax_number": "606-886-7092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS MEDICAL PARTNERS I LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-19",
"last_updated": "2011-07-08",
"status": "A",
"authorized_official_last_name": "BLACKWELL",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "606-886-7548",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.