LEWIS JACKSON PHD
NPI 1376138347
Pathology - Clinical Laboratory Director, Non-physician in Louisville, KY

Active since March 02, 2021
111 N HUBBARDS LN STE 1, LOUISVILLE, KY 40207(859) 475-2184 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lewis Jackson Phd NPPES

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

LEWIS JACKSON PHD (NPI 1376138347) is an individual clinical laboratory director, non-physician in Louisville, Kentucky and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1376138347
Entity TypeIndividualMale
Primary Taxonomy247ZC0005X
Provider Legal NameLEWIS JACKSONCredential: PHD
Location Address111 N HUBBARDS LN STE 1Louisville, KY 40207-3902
Mailing Address111 N Hubbards Ln Ste 1Louisville, KY 40207-3902 · (859) 475-2184
Sole ProprietorNo
Enumeration DateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
NPI 1376138347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
111 N HUBBARDS LN STE 1, Louisville, KY 40207

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 Lewis Jackson's NPI number?

The NPI number for Lewis Jackson is 1376138347. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Lewis Jackson located?

Lewis Jackson practices at 111 N Hubbards Ln Ste 1, Louisville, KY 40207. The listed phone number is (859) 475-2184.

What is Lewis Jackson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Lewis Jackson was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.