PEARL DIAGNOSTIC LABORATORIES, LLC (NPI# 1215544549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215544549 |
| Entity Type | Organization |
| Organization Name | PEARL DIAGNOSTIC LABORATORIES, LLC |
| Practice Address |
2202 Buechel Ave Ste 105d Louisville KY 40218-2672 |
| Practice Telephone | 5024560494 |
| Practice Fax Number | 5024560496 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | OSAWARU J OMORUYI (OWNER) |
| Authorized Official Telephone | 5024560494 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
2202 BUECHEL AVE STE 105D |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1871593293 | Molecular Pathology Services of The Henry Vogt Cancer Research Inst | Clinical Medical Laboratory | 529 S Jackson St, Ste 417, Louisville, KY 40202-3229 | 2005-07-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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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.