ELITE CLINICAL LABORATORY (NPI# 1861039588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861039588 |
| Entity Type | Organization |
| Organization Name | ELITE CLINICAL LABORATORY |
| Practice Address |
6427 W Highway 146 Ste 4 Crestwood KY 40014-9516 |
| Practice Telephone | 5024576965 |
| Mailing Telephone | 5024576965 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | KRISTA PFEIFFER (OWNER) |
| Authorized Official Telephone | 5024576965 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
6427 W HIGHWAY 146 STE 4 |
| City | CRESTWOOD |
| State | KY |
| Zip Code | 40014-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720411556 | Meagan L Vowels | Behavioral Analyst | 5895 W. Hwy 146, Crestwood, KY 40014 | 2013-08-15 |
| 1003157538 | Craig L Satterley | Physical Therapist | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014 | 2013-03-07 |
| 1871868802 | Wallace Lyle Past Sr. | General Practice | 4608 Heritage Manor, Crestwood, KY 40014 | 2012-03-08 |
| 1609153725 | Patricia Ann Gray | Behavioral Analyst | 5895 W Highway 146, Crestwood, KY 40014 | 2011-11-03 |
| 1528374253 | Laura R Carroll | Dentist | 6344 W. Hwy 146 Ste 100, Crestwood, KY 40014 | 2010-08-18 |
| 1699922849 | Mortenson Family Dental Center | Clinic/Center | 6408 W Hwy 146, Crestwood, KY 40014 | 2008-08-19 |
| 1760658546 | Kathy J. Pansegrau, Dc, Psc | Chiropractor | 6402 Westwind Way, Suite 5, Crestwood, KY 40014 | 2008-05-01 |
| 1952584054 | Alyssa Ann Dykgraaf | Dentist | 5805 Whwy 22, Ste 100, Crestwood, KY 40014 | 2007-12-11 |
| 1780881649 | Gwinn A. K. Vonnahme | Dentist | 5998 Pleasant Colony Ct. Suite 23, Crestwood, KY 40014 | 2007-07-02 |
| 1326250960 | Sue B Feeley | Dentist | 6225 W Hwy 146, Crestwood, KY 40014 | 2007-05-04 |
| Find all providers in zip 40014 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314594 | Prescient Medicine Holdings, Inc. | Pathology | 201 E Jefferson St Ste 309, Louisville, KY 40202-1279 | 2019-03-07 |
| 1497190656 | Gilbert Hugo Friedell | Pathology | 1776 Lakewood Ln, Lexington, KY 40502-2880 | 2013-05-01 |
| 1972797678 | Gwendolyn Janel Godfrey | Pathology | 530 S Jackson St, Louisville, KY 40202-1675 | 2007-09-05 |
| 1417045998 | Appalachian Regional Healthcare, Inc. | Pathology | 240 Hospital Road, Whitesburg, KY 41858 | 2006-10-10 |
| 1265454334 | Tayyeb M Ayyoubi | Pathology | 530 S Jackson St, Louisville, KY 40202-1675 | 2006-07-24 |
| 1982669818 | Julie A Ribes | Pathology | 800 Rose St # Ms 117, Lexington, KY 40536-0298 | 2006-04-20 |
| 1851378590 | University Pathologists, Psc | Pathology | 530 S. Jackson St., Louisville, KY 40202 | 2005-12-23 |
| 1730174095 | Wanda B Arrendell | Pathology | 260 Hospital Dr, South Williamson, KY 41503-4072 | 2005-09-13 |
| 1346246592 | Nandkumar Bathija | Pathology | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2005-06-22 |
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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.