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NEW LEXINGTON CLINIC PSC NPI 1881789964


NPI Information

NPI: 1881789964
Provider Name: NEW LEXINGTON CLINIC, PSC

Doing Business As: LEXINGTON CLINIC AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 18D0942611

Address:
1225 S BROADWAY
SUITE 100
LEXINGTON, KY
ZIP 40504
Phone: (859) 258-4000
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NEW LEXINGTON CLINIC, PSC is an ambulatory surgical clinic center in Lexington, KY. NEW LEXINGTON CLINIC, PSC NPI is 1881789964. The provider is registered as an organization entity type.
The provider Is Doing Business As Lexington Clinic Ambulatory Surgery Center.

The provider's business location address is:

1225 S BROADWAY
SUITE 100
LEXINGTON, KY
ZIP 40504-701
Phone: (859) 258-4000
Fax: (859) 258-4068

The provider's authorized official is Kenneth Craik .
The authorized official title is Chief Financial Officer and has the following contact phone number (859) 258-4101.

The CLIA number assigned to this NPI record is 18D0942611 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
136000818MEDICAIDKENTUCKY

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: 11/14/2023

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