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IRIS MEDICAL GROUP KENTUCKY LLC
NPI 1336908110
Clinic/Center - Primary Care in Bowling Green, KY

Active since March 15, 2024CLIA 44D2274390 · Waiver
1131 MAGNOLIA ST, BOWLING GREEN, KY 42103(615) 873-4490 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Iris Medical Group Kentucky Llc NPPES

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

IRIS MEDICAL GROUP KENTUCKY LLC (NPI 1336908110) is a healthcare organization registered as a primary care in Bowling Green, Kentucky and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Joel Parker, President, as its authorized official.

NPPES Registry Identity

NPI1336908110
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIRIS MEDICAL GROUP KENTUCKY LLC
Location Address1131 MAGNOLIA STBowling Green, KY 42103-2411
Mailing Address330 Franklin Rd Ste 135-a270Brentwood, TN 37027-3280 · (615) 873-4490
Phone(615) 873-4490
Organization SubpartNo
Authorized OfficialJoel ParkerPresident · (615) 873-4490
Enumeration DateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1336908110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1131 MAGNOLIA ST, Bowling Green, KY 42103
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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 44D2274390

Iris Medical Group · Brentwood, TN
Active · expires Jan 3, 2027
CLIA Number44D2274390
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorJoel L. Parker
Laboratory Phone(615) 840-8974
Laboratory LocationIris Medical Group9019 Overlook Blvd, Suite C1b, Brentwood, TN 37027
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Iris Medical Group Kentucky LLC's NPI number?

The NPI number for Iris Medical Group Kentucky LLC is 1336908110. It was assigned to this organization in the NPPES registry on March 15, 2024.

Where is Iris Medical Group Kentucky LLC located?

Iris Medical Group Kentucky LLC is located at 1131 Magnolia St, Bowling Green, KY 42103. The listed phone number is (615) 873-4490.

What is Iris Medical Group Kentucky LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Iris Medical Group Kentucky LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2274390) is associated with this NPI, valid through January 3, 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 Iris Medical Group Kentucky LLC was last updated on March 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.