NPIMap

Organization Active NPI

Pineville Community Hospital Reference Lab

  • Clinical Medical Laboratory
  • Pineville, KY
National Provider Identifier
1922150911
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
18D0323967 Issued in KY
Legal business name
PINEVILLE COMMUNITY HOSPITAL REFERENCE LAB
Practice address
850 Riverview Rd
Pineville, KY 40977-1430
Phone
(606) 337-3051
Fax
(606) 337-2871
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Mr. Kevin Couch
Title
Controller
Phone
(606) 337-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 18D0323967 KY Primary

Addresses

Primary practice location

850 Riverview Rd
Pineville, KY 40977-1430

Mailing address

850 Riverview Rd
Pineville, KY 40977-1430
Phone (606) 337-3051

Other identifiers 1

IdentifierTypeStateIssuer
000000061950OtherKYANTHEM BCBS REFERENCE LAB

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
18D0323967Pineville Community Health Center850 Riverview Ave,, Pineville, KY 40977ComplianceNov 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pineville Community Hos4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1922150911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW RD",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771430",
            "telephone_number": "606-337-3051",
            "fax_number": "606-337-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW RD",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771430",
            "telephone_number": "606-337-3051",
            "fax_number": "606-337-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE COMMUNITY HOSPITAL REFERENCE LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "606-337-3051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "18D0323967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS REFERENCE LAB",
            "identifier": "000000061950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.