PERIPHERAL VASCULAR LABS OF KY INC NPI 1902895527

NPI Information

  • NPI: 1902895527
  • Provider Name: PERIPHERAL VASCULAR LABS OF KY, INC
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Address: 609 MAIN ST
    HAZARD, KY
    ZIP 41701
  • Phone: (606) 487-1183

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NPI Details

PERIPHERAL VASCULAR LABS OF KY, INC is a physiological laboratory in Hazard, KY. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. PERIPHERAL VASCULAR LABS OF KY, INC NPI is 1902895527. The provider is registered as an organization entity type.

The provider's business location address is:

609 MAIN ST
HAZARD, KY
ZIP 41701-381
Phone: (606) 487-1183
Fax: (606) 436-0923

The provider's authorized official is Charles R Coleman .
The authorized official title is Director and has the following contact phone number (606) 487-1183.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 6/6/2008.

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
1293D00000XPhysiological LaboratoryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19363401MEDICARE PIN
286010972MEDICAIDKENTUCKY

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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