NPI Details
ETHAN HEALTH LLC is a clinical medical laboratory in Richmond, 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. ETHAN HEALTH LLC NPI is 1205342748. The provider is registered as an organization entity type.
The provider Other Name Is Ethan Health Lab Services.
The provider's business location address is:
1623 FOXHAVEN DR
RICHMOND, KY
ZIP 40475-056
Phone: (859) 625-5235
Fax: (859) 625-5237
The provider's authorized official is Jennifer Evans .
The authorized official title is Official Credentialing Manager and has the following contact phone number (859) 317-8714.
The CLIA number assigned to this NPI record is 18D2121069 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 12/20/2017 and was last updated on 12/20/2017.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
