LIFESCAN OF LOUISVILLE LLC (NPI# 1942203955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942203955 |
| Entity Type | Organization |
| Organization Name | LIFESCAN OF LOUISVILLE LLC |
| Other Organization Name | LIFESCAN LOUISVILLE |
| Practice Address |
4046 Dutchmans Ln Louisville KY 40207-4712 |
| Practice Telephone | 5028937145 |
| Practice Fax Number | 5028937147 |
| Mailing Telephone | 5028937145 |
| Mailing Fax Number | 5028937147 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | MRS. MICHELLE DOUGLAS (CONTRACT MANAGER) |
| Authorized Official Telephone | 5024031401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65933764 | 05 | |
| KY | 7100041020 | 05 |
| Other Name | Type Code |
|---|---|
| Lifescan Louisville | Doing Business As Name - Organization |
| Street Address |
4046 DUTCHMANS LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215571591 | Tatyanas Case Management, LLC | Bus | 4046 Dutchmans Ln, Louisville, KY 40207-4712 | 2019-10-30 |
| 1891339172 | Tatyanas Case Management, LLC | Clinic/Center | 4046 Dutchmans Ln, Louisville, KY 40207-4712 | 2019-10-30 |
| 1164066445 | Tatyanas Case Management, LLC | Taxi | 4046 Dutchmans Ln, Louisville, KY 40207-4712 | 2019-10-30 |
| 1790329076 | Tatyanas Case Management, LLC | Non-emergency Medical Transport (VAN) | 4046 Dutchmans Ln, Louisville, KY 40207-4712 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044523 | Norton Hospitals Inc | Clinic/Center | 4420 Dixie Hwy Ste 108, Louisville, KY 40216-2986 | 2020-08-18 |
| 1952935041 | Gnd Radiology Solutions, LLC | Clinic/Center | 6801 Dixie Hwy Ste 238, Louisville, KY 40258-3961 | 2020-02-27 |
| 1447388335 | Norton Hospitals Inc | Clinic/Center | 4960 Norton Healthcare Blvd, Louisville, KY 40241-2831 | 2007-03-01 |
| 1780751487 | Diversified Patient Resources, Inc. | Clinic/Center | 2547 Dell Rd, Louisville, KY 40205-2309 | 2006-11-29 |
| 1306921309 | Quest | Clinic/Center | 2128 S Hurstbourne Pkwy, Louisville, KY 40220-1622 | 2006-10-26 |
| 1679535702 | Diagnostic Medical Imaging Associates, Psc. | Clinic/Center | 3900 Dupont Sq S, Suite B, Louisville, KY 40207-4615 | 2006-04-04 |
| 1154329696 | Norton Hospitals Inc | Clinic/Center | 3901 Dutchmans Ln, Suite 101, Louisville, KY 40207-4722 | 2005-07-08 |
| 1255335873 | Norton Hospitals, Inc | Clinic/Center | 9344 Cedar Center Way, Louisville, KY 40291-4522 | 2005-06-10 |
| 1679890297 | Molecular Imaging Alliance of Milwaukee, LLC | Clinic/Center | 9200 Leesgate Rd Ste 100, Louisville, KY 40222-5173 | 2010-04-21 |
| 1346578010 | Norton Hospitals Inc | Clinic/Center | 3430 Newburg Rd, Louisville, KY 40218-2497 | 2009-11-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on LIFESCAN OF LOUISVILLE 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.