NEW LEXINGTON CLINIC PSC NPI 1912097700

NPI Information

NEW LEXINGTON CLINIC, PSC is an ambulatory surgical clinic center in Lexington, KY. NEW LEXINGTON CLINIC, PSC NPI is 1912097700. The provider is registered as an organization entity type.
The provider Is Doing Business As Endoscopy And Surgical Center Of Lexington Clinic.

The provider's business location address is:

1225 S BROADWAY
SUITE 200
LEXINGTON, KY
ZIP 40504-701
Phone: (859) 258-4200
Fax: (859) 258-4001

The provider's authorized official is Nathan E Riley .
The authorized official title is Cheif Administrative Officer and has the following contact phone number (859) 258-4106.

The CLIA number assigned to this NPI record is 18D2055943 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 4/29/2013.

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:

Other Identifiers

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

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