CUMBERLAND MEDICAL LABORATORIES INC (NPI# 1669440533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669440533 |
Entity Type | Organization |
Organization Name | CUMBERLAND MEDICAL LABORATORIES INC |
Other Organization Name | CUMBERLAND MEDICAL LABS |
Practice Address |
401 Bogle St Ste 205 Somerset KY 42501 |
Mailing Address |
Po Box 3310 W Somerset KY 42564 |
Practice Telephone | 6066788800 |
Practice Fax Number | 6066795238 |
Mailing Telephone | 6066788800 |
Mailing Fax Number | 6066795238 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2013-05-08 |
Authorized Official Name | MARILYN MASON MCMILLEN (PRESIDENT MEDICAL DIRECTOR) |
Authorized Official Telephone | 6066788800 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
20206 | KY | Allopathic & Osteopathic Physicians |
Y | 291U00000X | Clinical Medical Laboratory | 200055 | KY | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100158200 | 05 | |
KY | 37902780 | 05 |
Other Name | Type Code |
---|---|
Cumberland Medical Labs | Other Name - Individual/Organization |
Street Address |
401 BOGLE ST STE 205 |
City | SOMERSET |
State | KY |
Zip Code | 42501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861491508 | Cyril George Kohrman | Urology | 401 Bogle St, Suite 103, Somerset, KY 42503-2850 | 2005-07-15 |
1770080913 | Ashley Hampton Ping | Counselor | 401 Bogle St, Somerset, KY 42503-3823 | 2018-04-12 |
1588077986 | Morrland Healthcare | Case Management | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2014-06-04 |
1679986079 | Morrland Healthcare | Case Management | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2014-06-04 |
1124441274 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 401 Bogle St, Suite 101, Somerset, KY 42503-3823 | 2014-01-27 |
1235550914 | Brittany Smith | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-23 |
1518388321 | Terry Nelson | Social Worker | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
1447671284 | Angela Tucker | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
1194146936 | Kelly Cooper | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
1992126700 | Kesha Mcclure-hunley | Counselor | 401 Bogle St, Suite 102, Somerset, KY 42503-3823 | 2013-12-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
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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. |
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1780125633 | Clarity Laboratories LLC | Clinical Medical Laboratory | 220 Davidson Avenue Suite 104, Somerset, NJ 08873-2288 | 2017-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
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1740881267 | Ready Lab LLC | Clinical Medical Laboratory | 2575 Ky Hwy 801 North, Suite B, Morehead, KY 40351 | 2020-11-02 |
1437756137 | C19 Labs LLC | Clinical Medical Laboratory | 881 Corporate Dr, Lexington, KY 40503-2748 | 2020-10-06 |
1215544549 | Pearl Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 2202 Buechel Ave Ste 105d, Louisville, KY 40218-2672 | 2020-09-30 |
1114545688 | Sts Lab 2 LLC | Clinical Medical Laboratory | 3521 Point Pleasant Rd, Hebron, KY 41048-9713 | 2020-07-10 |
1346870979 | Sterling Toxicology LLC | Clinical Medical Laboratory | 125 Foxglove Dr Ste C, Mt Sterling, KY 40353-9735 | 2020-01-23 |
1659927333 | Hc Systems, LLC | Clinical Medical Laboratory | 1400 Browns Ln Ste C, Louisville, KY 40207-4696 | 2019-08-17 |
1497223473 | X-gene Molecular Laboratories | Clinical Medical Laboratory | 989 Governors Ln Ste 140, Lexington, KY 40513-1174 | 2018-11-07 |
1861975062 | Eurofins Clinical Molecular Testing Services LLC | Clinical Medical Laboratory | 12701 Plantside Dr, Louisville, KY 40299-6388 | 2018-09-13 |
1497247894 | My Turning Point, LLC | Clinical Medical Laboratory | 235 Stokely Rd, Cynthiana, KY 41031-2104 | 2018-05-31 |
1114435492 | Dx Solutions, LLC | Clinical Medical Laboratory | 110 Dewey Dr Ste A, Nicholasville, KY 40356-7124 | 2018-01-20 |
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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.