PROFESSIONAL PARK DIAGNOSTICS PLLC – NPI #1235795352
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.

Health Care Provider Taxonomy Code for Clinical Medical Laboratory

PROFESSIONAL PARK DIAGNOSTICS PLLC is a clinical medical laboratory located in OWENSBORO, KY. NPPES has assigned the NPI number 1235795352 to PROFESSIONAL PARK DIAGNOSTICS PLLC on May 14, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was previously updated about 6 years ago on Dec 19, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROFESSIONAL PARK DIAGNOSTICS PLLC below.

NPI Profile for
PROFESSIONAL PARK DIAGNOSTICS PLLC

NPI Number
1235795352
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROFESSIONAL PARK DIAGNOSTICS PLLC
Primary location
3346 PROFESSIONAL PARK
OWENSBORO, KY 42303-4551
Phone: (270) 685-1066 Fax: (270) 713-0227
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PATRICK GIPE
PARTNER
Phone: (270) 685-1066
Updated
Certification Date
Dec 19, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PROFESSIONAL PARK DIAGNOSTICS PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY7100633920
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
261QR0200X
- Clinic/Center / Radiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.