18D0321264 CLIA NUMBER - TSAI INTERNAL MEDICINE INC

Laboratory Demographics

  • CLIA Code: 18D0321264
  • Facility Name: TSAI INTERNAL MEDICINE INC
  • Facility Address: 6400 DUTCHMANS PARKWAY SUITE 210
    LOUISVILLE, KY
    ZIP 40205
  • Facility Phone: 502 896-2342
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD A. GOULD
  • NPI Number: 1174813141
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0321264
LAB Type Physician Office
Facility Name TSAI INTERNAL MEDICINE INC
Street 6400 DUTCHMANS PARKWAY SUITE 210
City LOUISVILLE
State KY
ZIP 40205
Phone 502 896-2342
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director RICHARD A. GOULD

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This page was last updated on: 9/29/2025