GEORGETOWN CARDIOLOGY
NPI 1093051807
Internal Medicine - Interventional Cardiology in Georgetown, KY

Active since December 26, 2012CLIA 18D2024210 · Waiver
1154 LEXINGTON RD, GEORGETOWN, KY 40324(502) 863-3329(502) 863-3303 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgetown Cardiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGETOWN CARDIOLOGY (NPI 1093051807) is a healthcare organization registered as an interventional cardiology in Georgetown, Kentucky and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Monica Bowman, Vice President, as its authorized official.

NPPES Registry Identity

NPI1093051807
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameKENTUCKY MSO LLC
Location Address1154 LEXINGTON RDGeorgetown, KY 40324-9330
Mailing Address1154 Lexington RdGeorgetown, KY 40324-9330 · (502) 863-3329 · Fax (502) 863-3303
Fax(502) 863-3303
Organization SubpartNo
Authorized OfficialMonica BowmanVice President · (615) 920-7000
Enumeration DateDecember 26, 2012
Last NPPES UpdateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
NPI 1093051807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1154 LEXINGTON RD, Georgetown, KY 40324

Other Names 1

Doing Business AsGeorgetown Cardiology

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2024210

Kentucky Mso, LLC Dba Bluegrass Business Health - Georgetown · Georgetown, KY
Active · expires May 11, 2027
CLIA Number18D2024210
Laboratory TypeOccupational Health Clini
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorDr. Henry R. Preston
Laboratory Phone(502) 570-7953
Laboratory LocationKentucky Mso, LLC Dba Bluegrass Business Health - Georgetown1002 Lexington Road Ste 21, Georgetown, KY 40324
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1154 LEXINGTON RD, STE 2
GEORGETOWN, KY 40324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentucky Mso LLC's NPI number?

The NPI number for Kentucky Mso LLC is 1093051807. It was assigned to this organization in the NPPES registry on December 26, 2012. The provider is doing business as Georgetown Cardiology.

Where is Kentucky Mso LLC located?

Kentucky Mso LLC is located at 1154 Lexington Rd, Georgetown, KY 40324. The listed phone number is (502) 863-3329.

What is Kentucky Mso LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Does Kentucky Mso LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2024210) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kentucky Mso LLC was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.