18D2082121 CLIA NUMBER - BAPTIST HEALTH MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 18D2082121

Facility Name: BAPTIST HEALTH MEDICAL GROUP

Facility Address:
2801 PALUMBO DRIVE STE 200
LEXINGTON, KY
ZIP 40509
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Facility Phone Number: 859 260-4390

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548664667

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	18D2082121
LAB Type	Physician Office
Facility Name	BAPTIST HEALTH MEDICAL GROUP
Street	2801 PALUMBO DRIVE STE 200
City	LEXINGTON
State	KY
ZIP	40509
Phone	859 260-4390
CertificateType	4
CertificateEffectiveDate	8/7/2022
CertificateExpirationDate	8/6/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024