KENTUCKY CANCERLINK, INC.
NPI 1336734912
Clinic/Center - Recovery Care in Lexington, KY

NPI Status: Active since March 04, 2021

Contact Information

2425 REGENCY RD STE B
LEXINGTON, KY
ZIP 40503
Phone: (859) 309-1700
Fax: (859) 368-8418

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  • Organization
  • Clinic/Center
  • Recovery Care
  • CLIA Number: 18D2099090
  • CLIA Cert. Type: Other - NON-PROFIT SCREENING PROG
  • CLIA Exp. Date: 07-20-2025

About KENTUCKY CANCERLINK, INC.

This page provides the complete NPI Profile along with additional information for Kentucky Cancerlink, Inc., a provider established in Lexington, Kentucky operating as a Clinic/center, focusing in recovery care . The healthcare provider is registered in the NPI registry with number 1336734912 assigned on March 2021. The practitioner's primary taxonomy code is 261QR0800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Stephanie Garrison (Credentialing And Billing Represent)

NPI
1336734912
Provider Name
KENTUCKY CANCERLINK, INC.
Entity Type
Organization
Location Address
2425 REGENCY RD STE B LEXINGTON, KY 40503
Location Phone
(859) 309-1700
Location Fax
(859) 368-8418
Mailing Address
2425 REGENCY RD STE B LEXINGTON, KY 40503
Mailing Phone
(859) 309-1700
Mailing Fax
(859) 368-8418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2021
Last Update Date
03-04-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Recovery Care

Taxonomy Code
261QR0800X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHANIE GARRISON

Authorized Official Title
CREDENTIALING AND BILLING REPRESENT
Authorized Official Phone
(888) 222-7008

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
18D2099090
Facility Type
Other - NON-PROFIT SCREENING PROG
Certificate Effective Date
July 21, 2023
Certificate Expiration Date
July 20, 2025
Laboratory Director
VICKI BLEVINS-BOOTH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kentucky Cancerlink, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336734912
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366143892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 3 + 8 + 9 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1336734912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336734912, enumerated in the NPI registry as an "organization" on March 04, 2021

The provider is located at 2425 Regency Rd Ste B Lexington, Ky 40503 and the phone number is (859) 309-1700

This medical organization specializes in Clinic/Center with taxonomy code 261QR0800X with a focus in Recovery Care

The provider's CLIA number is 18D2099090 for a "other - non-profit screening prog" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 04, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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