Organization Active NPI

C19 Labs LLC

  • Clinical Medical Laboratory
  • Lexington, KY
National Provider Identifier
1992490320
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
C19 LABS LLC
Doing business as
C-19 Labs- Limestone
Practice address
800 Corporate Dr Ste 130
Lexington, KY 40503-5402
Phone
(859) 215-7964
Fax
(859) 376-1216
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

800 Corporate Dr Ste 130
Lexington, KY 40503-5402

Mailing address

838 E High St # 202
Lexington, KY 40502-2107
Phone (859) 215-7964

Other names 1

  • C-19 Labs- Limestone Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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
18D2278838C-19 Labs - Limestone800 Corporate Dr Ste 130, Lexington, KY 40503AccreditationMay 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
C19 Labs LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1992490320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 E HIGH ST # 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022107",
            "telephone_number": "859-215-7964",
            "fax_number": "859-376-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035402",
            "telephone_number": "859-215-7964",
            "fax_number": "859-376-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C19 LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "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": "C-19 Labs- Limestone",
            "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.
  • 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.