RENEW LABS, LLC (NPI# 1841697398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841697398 |
Entity Type | Organization |
Organization Name | RENEW LABS, LLC |
Other Organization Name | RENEW LABS |
Practice Address |
286 Us Highway 23 N Prestonsburg KY 41653-8732 |
Mailing Address |
400 Venters Lane Pikeville KY 41501 |
Practice Telephone | 6066531503 |
Enumeration Date | 2014-11-28 |
Last Update Date | 2019-02-25 |
Authorized Official Name | MR. EUGENE SISCO III (MANAGING MEMBER) |
Authorized Official Telephone | 6066531503 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100331250 | 05 | |
TAXONOMY | 291U0000X | 01 | |
CLIA NUMBER | 18D2090590 | 01 |
Other Name | Type Code |
---|---|
Renew Labs | Doing Business As Name - Organization |
Street Address |
286 US HIGHWAY 23 N |
City | PRESTONSBURG |
State | KY |
Zip Code | 41653-8732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790763449 | Gerald E Payne | Physician Assistant | 286 Us Highway 23 N, Suite 102, Prestonsburg, KY 41653-8732 | 2006-01-04 |
1518582675 | Cornerstone Care Associates | Pharmacy | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2020-06-14 |
1063810091 | Renew Addiction Treatment Center | Internal Medicine | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2014-12-08 |
1336579796 | Candace Engle | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2013-11-22 |
1285976621 | Rhonda Michelle Hoskins | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2013-03-25 |
1275827495 | Louisa Elizabeth Farley | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2011-06-06 |
1447576103 | Mark J Martin | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2010-04-20 |
1407004880 | Demosthenes N Sarlis | Physical Medicine & Rehabilitation | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2008-08-28 |
1477665321 | Kentucky Pain Physicians | Non-Pharmacy Dispensing Site | 286 Us Highway 23 N, Ste 102, Prestonsburg, KY 41653-8732 | 2006-08-31 |
1477589463 | Robert B Hays | Physician Assistant | 286 Us Highway 23 N, Suite 102, Prestonsburg, KY 41653-8732 | 2006-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
Find all providers in zip 41653 |
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 |
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1508210030 | Alpha Health Services Pllc | Clinical Medical Laboratory | 121 Oak Ridge Ct Ste B, Prestonsburg, KY 41653-8607 | 2016-04-21 |
1295736841 | Archer Clinic Laboratory | Clinical Medical Laboratory | 400 University Dr, Suite 105, Prestonsburg, KY 41653-1080 | 2005-08-04 |
1659933216 | Arh Tug Valley Health Services, Inc. | Clinical Medical Laboratory | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-03 |
1831579622 | Vanark Laboratories, Inc | Clinical Medical Laboratory | 207 W Court St, Prestonsburg, KY 41653-7732 | 2015-06-05 |
1871734913 | Highlands Medical Partners I LLC | Clinical Medical Laboratory | 400 University Dr, Suite 102, Prestonsburg, KY 41653-1080 | 2009-03-19 |
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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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City | PRESTONSBURG |
Zip Code | 41653 |
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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.