Pharmacogenetics Diagnostic Laboratory Llc, NPI 1255376620
Clinical Medical Laboratory in Louisville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1255376620
NPI Entity Type Organization
Provider Name Pharmacogenetics Diagnostic Laboratory Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 201 E Jefferson St, Suite 309, Louisville, KY, US
Provider Mailing Address 201 E Jefferson St, Suite 309, Louisville, KY, US, 402021246
Is Sole Proprietor? No
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Organization Official

Official Name PHD Mark Linder
Official Position VP
Phone 502-569-1584

Primary Taxonomy

Taxonomy Code

291U00000X

Taxonomy Name Clinical Medical Laboratory
Classification

Clinical Medical Laboratory

Group

Laboratories

License No. 200251
License State KY
Description (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Other Organization Name

PGXL Laboratories
Doing Business As

Business Address

Pharmacogenetics Diagnostic Laboratory Llc
201 E Jefferson St
Suite 309

Louisville, KY, US

Phone: 502-569-1584
Fax: 502-569-1585

Mailing Address

Pharmacogenetics Diagnostic Laboratory Llc
201 E Jefferson St
Suite 309
Louisville, KY, US
ZIP 402021246
Phone: 502-569-1584
Fax: 502-569-1054

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
102795040 0001 PA MEDICAID 05
1255376620 ME MEDICAID 05
2659764 MI MEDICAID 05
0065657 OH MEDICAID 05
0110438 IA MEDICAID 05
100262578-00 NE MEDICAID 05
1255376620 MO MEDICAID 05
500652629 OR MEDICAID 05
1255376620 WA MEDICAID 05
200970280A KS MEDICAID 05
00026220 MS MEDICAID 05
195993709 AR MEDICAID 05
2338391 LA MEDICAID 05
50121715 CO MEDICAID 05
7001484 NC MEDICAID 05
0380351 NJ MEDICAID 05
1255376620 AL MEDICAID 05
1255376620 MT MEDICAID 05
1255376620 UT MEDICAID 05
1530585 TN MEDICAID 05
201093810A IN MEDICAID 05
7405899 KY MEDICAID 05
808295 AZ MEDICAID 05
003132163A GA MEDICAID 05
1255376620 ID MEDICAID 05
4215397 00 MD MEDICAID 05
000000531561 KY ANTHEM BLUE CROSS 01
06555519 NM MEDICAID 05
1255376620 VA MEDICAID 05
3810025173 WV MEDICAID 05
1582673 AK MEDICAID 05
738908 HI MEDICAID 05
L00368 SC MEDICAID 05
TIN-001 IL MEDICAID 05

Other Providers in KY, US

NPI Name Taxonomy Address

1568107415

MRS. OTR/L Sarah Elizabeth Seigh

Individual

Occupational Therapist

310b S Keeneland Dr

Richmond, KY

1144868498

DOULA Loran Marie Bernert

Individual

Doula

801 Barret Ave Ste 301

Louisville, KY

1932526654

Lab One Of Ohio Inc

Organization

Clinical Medical Laboratory

98 Post Office Drive

Clay City, KY

1023457884

Lab One Of Ohio Inc

Organization

Clinical Medical Laboratory

2161 Lexington Rd

Suite 5

Richmond, KY

1841795689

MD Max Andrew Triantafillou

Individual

Internal Medicine Physician

900 S Limestone Ctw 304

Lexington, KY

1861078685

Lake Cumberland Regional Hospital Llc

Organization

Internal Medicine Physician

110 Hardin Ln Ste 9

Somerset, KY

1447330451

Lake Cumberland Regional Hospital, Llc

Organization

Internal Medicine Physician

350 Hospital Way

Suite 100

Somerset, KY

1093092744

Lake Cumberland Regional Hospital Llc

Organization

Family Nurse Practitioner

353 Bogle St

Suite A

Somerset, KY

1023155462

Lake Cumberland Regional Hospital Llc

Organization

Rural Health Clinic/Center

305 Langdon St

Somerset, KY

1306561766

Sierra Rader

Individual

Occupational Therapist

116 Meridian Way Ste 8

Richmond, KY

1194440552

APRN Chelsey Sievert

Individual

Nurse Practitioner

122 Langley Dr

Nicholasville, KY

1598480949

APRN Mary Mitchell

Individual

Emergency Registered Nurse

1850 Bluegrass Ave

Louisville, KY

1740927599

Goben Family Care Llc

Organization

Family Nurse Practitioner

7139 State Route 56 E

Sebree, KY

1912352030

M.D. Michael Crum

Individual

Emergency Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

1760914139

Sarah L Young

Individual

Clinical Social Worker

601 Lincoln Park Rd

Springfield, KY

1154589968

D.O. William B Webb

Individual

Emergency Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

1194204156

PA-C Brittney R. Judhan

Individual

Physician Assistant

911 Bypass Rd Bldg A

Pikeville, KY

1952385882

MD Brett E Jarrell

Individual

Emergency Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

1730622317

APRN Danny Brent Newsome

Individual

Family Nurse Practitioner

911 Bypass Rd Bldg A

Pikeville, KY

1093744807

DO John M Fleming

Individual

Family Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

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