PHARMACOGENETICS DIAGNOSTIC LABORATORY LLC (NPI# 1255376620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255376620 |
| Entity Type | Organization |
| Organization Name | PHARMACOGENETICS DIAGNOSTIC LABORATORY LLC |
| Other Organization Name | PGXL LABORATORIES |
| Practice Address |
201 E Jefferson St Suite 309 Louisville KY 40202-1246 |
| Practice Telephone | 5025691584 |
| Practice Fax Number | 5025691585 |
| Mailing Telephone | 5025691584 |
| Mailing Fax Number | 5025691054 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | MARK LINDER (VP) |
| Authorized Official Telephone | 5025691584 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 200251 | KY | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00026220 | 05 | |
| NM | 06555519 | 05 | |
| PA | 102795040 0001 | 05 | |
| TN | 1530585 | 05 | |
| WV | 3810025173 | 05 | |
| AL | 1255376620 | 05 | |
| CO | 50121715 | 05 | |
| AK | 1582673 | 05 | |
| MI | 2659764 | 05 | |
| SC | L00368 | 05 | |
| KY | ANTHEM BLUE CROSS | 000000531561 | 01 |
| NJ | 0380351 | 05 | |
| ME | 1255376620 | 05 | |
| VA | 1255376620 | 05 | |
| HI | 738908 | 05 | |
| GA | 003132163A | 05 | |
| NE | 100262578-00 | 05 | |
| ID | 1255376620 | 05 | |
| UT | 1255376620 | 05 | |
| AR | 195993709 | 05 | |
| IN | 201093810A | 05 | |
| MD | 4215397 00 | 05 | |
| OR | 500652629 | 05 | |
| KY | 7405899 | 05 | |
| AZ | 808295 | 05 | |
| OH | 0065657 | 05 | |
| MO | 1255376620 | 05 | |
| MT | 1255376620 | 05 | |
| KS | 200970280A | 05 | |
| LA | 2338391 | 05 | |
| IA | 0110438 | 05 | |
| WA | 1255376620 | 05 | |
| NC | 7001484 | 05 | |
| IL | TIN-001 | 05 |
| Other Name | Type Code |
|---|---|
| PGXL Laboratories | Doing Business As Name - Organization |
| Street Address |
201 E JEFFERSON ST SUITE 309 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235680661 | Pgxl Technologies, LLC | Clinical Medical Laboratory | 201 E Jefferson St, Suite 201, Louisville, KY 40202-1246 | 2016-10-20 |
| 1194137034 | Michelle Lei Foree | Social Worker | 201 E Jefferson St, Suite 201 B, Louisville, KY 40202-1246 | 2014-05-27 |
| 1033532767 | Marisa Williams | Social Worker | 201 E Jefferson St, Louisville, KY 40202-1246 | 2014-01-31 |
| 1861745200 | Edumedics, LLC | Nursing Care | 201 E Jefferson St, Suite 301, Louisville, KY 40202-1246 | 2012-10-23 |
| 1396947263 | Lori Karman | Counselor | 201 E Jefferson St, Suite 201-b, Louisville, KY 40202-1246 | 2007-06-04 |
| 1255466223 | Mark W Linder | Spec/Tech, Pathology | 201 E Jefferson St, Suite 309, Louisville, KY 40202-1246 | 2007-02-22 |
| 1861537011 | Kristen Keeling Reynolds | Spec/Tech, Pathology | 201 E Jefferson St, Suite 309, Louisville, KY 40202-1246 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544549 | Pearl Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 2202 Buechel Ave Ste 105d, Louisville, KY 40218-2672 | 2020-09-30 |
| 1659927333 | Hc Systems, LLC | Clinical Medical Laboratory | 1400 Browns Ln Ste C, Louisville, KY 40207-4696 | 2019-08-17 |
| 1861975062 | Eurofins Clinical Molecular Testing Services LLC | Clinical Medical Laboratory | 12701 Plantside Dr, Louisville, KY 40299-6388 | 2018-09-13 |
| 1093118192 | Phlebotomy Associates, LLC | Clinical Medical Laboratory | 10019 Dixie Hwy, Louisville, KY 40272-5916 | 2014-10-02 |
| 1932543683 | Shanita Lashawn Polk | Clinical Medical Laboratory | 3411 Sumac Rd, Louisville, KY 40216-3336 | 2013-04-24 |
| 1912188541 | University of Louisville | Clinical Medical Laboratory | 501 South Preston Street, Louisville, KY 40292-0001 | 2007-11-26 |
| 1932236148 | Medical Laboratory Consultants, Pllc | Clinical Medical Laboratory | 221 S Preston St, Louisville, KY 40202-1223 | 2007-02-27 |
| 1073596268 | Laboratory Corporation of America | Clinical Medical Laboratory | 5601 S 3rd St, Louisville, KY 40214-2615 | 2005-11-22 |
| 1891778080 | Laboratory Corporation of America | Clinical Medical Laboratory | 11751 Interchange Dr, Louisville, KY 40229-3126 | 2005-11-22 |
| 1366438707 | University of Louisville Research Foundation, Inc | Clinical Medical Laboratory | 511 S. Floyd Street, Room 203, Louisville, KY 40292-0001 | 2005-09-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on PHARMACOGENETICS DIAGNOSTIC LABORATORY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.