LOUISVILLE PEDIATRIC SPECIALISTSPSC NPI 1285617886

NPI Information

  • NPI: 1285617886
  • Provider Name: LOUISVILLE PEDIATRIC SPECIALISTS,PSC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 18D1029072
  • Address: 6801 DIXIE HWY
    SUITE127
    LOUISVILLE, KY
    ZIP 40258
  • Phone: (502) 935-5633

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NPI Details

LOUISVILLE PEDIATRIC SPECIALISTS,PSC is a medical specialty clinic center in Louisville, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LOUISVILLE PEDIATRIC SPECIALISTS,PSC NPI is 1285617886. The provider is registered as an organization entity type.

The provider's business location address is:

6801 DIXIE HWY
SUITE127
LOUISVILLE, KY
ZIP 40258-913
Phone: (502) 935-5633
Fax: (502) 935-5706

The provider's authorized official is Trudi L Rash .
The authorized official title is Secretary/owner and has the following contact phone number (502) 935-5633.

The CLIA number assigned to this NPI record is 18D1029072 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2005 and was last updated on 5/12/2009.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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