Professional Park Diagnostics Pllc
LBN: Professional Park Diagnostics Pllc
Professional Park Diagnostics Pllc is an health care organization with primary practice located at 3346 Professional Park , Owensboro KY 42303-4551. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty.
Professional Park Diagnostics Pllc can be contacted via phone (270) 685-1066, or through Gipe, Patrick Brian via phone (270) 685-1066.
Contact Information
Primary practice address
3346 Professional Park
Owensboro KY 42303-4551
Phone: (270) 685-1066
Fax: (270) 713-0227
Website:
Authorized official contact:
Name: Gipe, Patrick Brian Doctor of Medicine (MD)
Phone: (270) 685-1066
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1235795352 |
|---|---|
| LBN Legal business name | Professional Park Diagnostics Pllc |
| DBA Doing business as | |
| Authorized official | Gipe, Patrick Brian Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2019 |
| Last updated | Dec 19th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235795352 | NPPES |
| Kentucky | MEDICAID | 7100633920 |
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