PEDIATRICS OF BULLITT COUNTY PLLC
NPI 1164293908
Clinic/Center - Rural Health in Shepherdsville, KY
About Pediatrics Of Bullitt County Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRICS OF BULLITT COUNTY PLLC (NPI 1164293908) is a healthcare organization registered as a rural health in Shepherdsville, Kentucky and active in the NPI registry since January 2024. The organization holds a CLIA Certificate of Compliance certificate valid through May 25, 2027 and lists Casey Miles Lewis, Managing Partner, as its authorized official.Information from the official NPPES registry record, last updated January 10, 2024.
NPPES Registry Identity
★ Primary Specialty
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D1095817
- Facility Type
- Physician Office
- Certificate Effective Date
- May 26, 2025
- Certificate Expiration Date
- May 25, 2027
- Laboratory Director
- DR. CASEY LEWIS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pediatrics Of Bullitt County Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
SHEPHERDSVILLE, KY 40165
SHEPHERDSVILLE, KY 40165
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164293908, enumerated as an "organization" on January 10, 2024.
The provider is located at 1707 CEDAR GROVE RD STE 20 SHEPHERDSVILLE, KY 40165 and the phone number is (502) 215-5090.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
