Active NPI
C19 Labs LLC
- Clinical Medical Laboratory
- Lexington, KY
National Provider Identifier
1952169021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- C19 LABS LLC
- Doing business as
- C19-Labs-SAV
- Practice address
- 1718 Alexandria Dr Ste 300
Lexington, KY 40504-3144 - Phone
- (859) 215-7956
- Fax
- (859) 215-7656
- NPI assigned
- Mar 12, 2024
- 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
- Andrew Taylor Bright, PHD
- Title
- President
- Phone
- (609) 977-0604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1718 Alexandria Dr Ste 300
Lexington, KY 40504-3144
Mailing address
1718 Alexandria Dr Ste 300
Lexington, KY 40504-3144
Phone (859) 215-7956
Other names 1
- C19-Labs-SAV
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211111001187 | KY | Part B Supplier - Independent Clinical Laboratory | 8022407154 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lexington, KY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- C19 Labs LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1437756137
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1992490320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1952169021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 ALEXANDRIA DR STE 300",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043144",
"telephone_number": "859-215-7956",
"fax_number": "859-215-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 ALEXANDRIA DR STE 300",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043144",
"telephone_number": "859-215-7956",
"fax_number": "859-215-7656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C19 LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-12",
"last_updated": "2025-01-30",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "BRIGHT",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "TAYLOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-977-0604",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "C19-Labs-SAV",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.