RECOVERY LABORATORY LLC - NPI NUMBER 1003166224

Summary

Provider Name: RECOVERY LABORATORY LLC

NPI Number: 1003166224

Clasification: Clinical Medical Laboratory (291U00000X)

Address:
461 S 4TH ST
DANVILLE, KY
ZIP 40422

Phone Number: (859) 236-7913



Detailed Information

RECOVERY LABORATORY LLC is a clinical medical laboratory in Danville, 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. The assigned NPI number for this provider is 1003166224 and is registered as an organization entity type.

The provider's business address is:

461 S 4TH ST
DANVILLE, KY
ZIP 40422-053
Phone: (859) 236-7913

The provider's authorized official is Jamie Durham .
The authorized official title is Managing Member and has the following contact phone number (859) 605-6390.

The enumeration date for this NPI number is 9/14/2012 and was last updated on 12/19/2012.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1053699272 SBX TX OTB, PLLC
Clinical Medical Laboratory
1124306766 ADDIXXION RECOVERY OF KENTUCKY, LLC
Clinical Medical Laboratory
1205124674 NEXUS LAB 2.0 LLC
Clinical Medical Laboratory
1346546231 NEXUS LAB INC
Clinical Medical Laboratory
1639488091 NEXUS LAB, INC.
Clinical Medical Laboratory
1679740344 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC
Clinical Medical Laboratory
1679861678 NEXUS LAB 2.0 LLC
Clinical Medical Laboratory





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 291U00000X Clinical Medical Laboratory Yes

NPI Record

No. Field Name Field Value
1 NPI 1003166224
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name RECOVERY LABORATORY LLC
5 Provider First Line Business Practice Location Address 461 S 4TH ST
6 Provider Business Practice Location Address City Name DANVILLE
7 Provider Business Practice Location Address State Name KY
8 Provider Business Practice Location Address Postal Code 404222053
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 8592367913
11 Provider Enumeration Date 9/14/2012
12 Last Update Date 12/19/2012
13 Authorized Official Last Name DURHAM
14 Authorized Official First Name JAMIE
15 Authorized Official Title or Position MANAGING MEMBER
16 Authorized Official Telephone Number 8596056390
17 Healthcare Provider Taxonomy Code 1 291U00000X
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Organization Subpart N
20 Authorized Official Credential Text MANAGING MEMBER

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.