Active NPI
Riverview Independent Laboratory Inc.
- Clinical Medical Laboratory
- Louisa, KY
National Provider Identifier
1972695096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2020
- 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. Donald H. Hicks
- Title
- President/Ceo
- Phone
- (606) 638-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37900677 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.
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- NPI 1174781553
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.