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PHARMACOGENETICS DIAGNOSTIC LABORATORY LLC NPI 1255376620


NPI Information

NPI: 1255376620
Provider Name: PHARMACOGENETICS DIAGNOSTIC LABORATORY LLC

Doing Business As: PGXL LABORATORIES

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
201 E JEFFERSON ST
SUITE 309
LOUISVILLE, KY
ZIP 40202
Phone: (502) 569-1584
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PHARMACOGENETICS DIAGNOSTIC LABORATORY LLC is a clinical medical laboratory in Louisville, KY. The provider is (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. PHARMACOGENETICS DIAGNOSTIC LABORATORY LLC NPI is 1255376620. The provider is registered as an organization entity type.
The provider Is Doing Business As Pgxl Laboratories.

The provider's business location address is:

201 E JEFFERSON ST
SUITE 309
LOUISVILLE, KY
ZIP 40202-246
Phone: (502) 569-1584
Fax: (502) 569-1585

The provider's authorized official is Mark Linder .
The authorized official title is Vp and has the following contact phone number (502) 569-1584.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 5/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory200251KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11255376620MEDICAIDIDAHO
21255376620MEDICAIDMONTANA
3200970280AMEDICAIDKANSAS
450121715MEDICAIDCOLORADO
5102795040 0001MEDICAIDPENNSYLVANIA
61255376620MEDICAIDVIRGINIA
70065657MEDICAIDOHIO
81255376620MEDICAIDALABAMA
9195993709MEDICAIDARKANSAS
102338391MEDICAIDLOUISIANA
112659764MEDICAIDMICHIGAN
1206555519MEDICAIDNEW MEXICO
131255376620MEDICAIDUTAH
141530585MEDICAIDTENNESSEE
153810025173MEDICAIDWEST VIRGINIA
164215397 00MEDICAIDMARYLAND
17003132163AMEDICAIDGEORGIA
180380351MEDICAIDNEW JERSEY
19100262578-00MEDICAIDNEBRASKA
201255376620MEDICAIDMISSOURI
21201093810AMEDICAIDINDIANA
22808295MEDICAIDARIZONA
234017401MEDICARE PINKENTUCKY
241255376620MEDICAIDWASHINGTON
251582673MEDICAIDALASKA
26500652629MEDICAIDOREGON
277001484MEDICAIDNORTH CAROLINA
28738908MEDICAIDHAWAII
297405899MEDICAIDKENTUCKY
30000000531561OTHERKENTUCKYANTHEM BLUE CROSS
3100026220MEDICAIDMISSISSIPPI
320110438MEDICAIDIOWA
331255376620MEDICAIDMAINE
34L00368MEDICAIDSOUTH CAROLINA
35TIN-001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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