Organization Active NPI

Riverview Independent Laboratory Inc.

  • Clinical Medical Laboratory
  • Louisa, KY
National Provider Identifier
1972695096
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RIVERVIEW INDEPENDENT LABORATORY INC.
Practice address
203 South Water St.
Louisa, KY 41230
Phone
(606) 638-9990
Fax
(606) 638-9990
NPI assigned
Sep 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald H. Hicks
Title
President/Ceo
Phone
(606) 638-9990

Specialties & licenses 1

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

Addresses

Primary practice location

203 South Water St.
Louisa, KY 41230

Mailing address

P.O. Box 89, 203 South Water St.
Louisa, KY 41230
Phone (606) 638-9990

Other identifiers 1

IdentifierTypeStateIssuer
37900677MedicaidKY

National Provider Directory

National Provider Directory

Locations

250 W Central Ave
Ashland, KY 41101
Phone (606) 324-3252

3000 Central Ave
Ashland, KY 41101
Phone (606) 325-3244

203 S Water St
Louisa, KY 41230
Phone (606) 638-4504

Practitioners & affiliated clinicians

Practitioners 2

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972695096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 89, 203 SOUTH WATER ST.",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "41230",
            "telephone_number": "606-638-9990",
            "fax_number": "606-638-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SOUTH WATER ST.",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "41230",
            "telephone_number": "606-638-9990",
            "fax_number": "606-638-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW INDEPENDENT LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "606-638-9990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37900677",
            "state": "KY"
        }
    ],
    "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 Aug 22, 2020; 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.