18D0955278 CLIA NUMBER - MIDDLETOWN INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 18D0955278
  • Facility Name: MIDDLETOWN INTERNAL MEDICINE
  • Facility Address: 12010 SHELBYVILLE ROAD, SUITE 300
    LOUISVILLE, KY
    ZIP 40243
  • Facility Phone: 502 244-9355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT A. YOUNG MD
  • NPI Number: 1861521833
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0955278
LAB Type Physician Office
Facility Name MIDDLETOWN INTERNAL MEDICINE
Street 12010 SHELBYVILLE ROAD, SUITE 300
City LOUISVILLE
State KY
ZIP 40243
Phone 502 244-9355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director SCOTT A. YOUNG MD

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