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Organization

NEW LEXINGTON CLINIC, PSC

Active
Parent organization
NEW LEXINGTON CLINIC, PSC
Other names
Lexington Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEW LEXINGTON CLINIC, PSC
Authorized official
JASON LADD (CFO)
(859) 258-4116
Entity
Organization

Contact information

Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4133
(859) 258-4796
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0169
MEDICARE GROUP
KY
05
37903705
KY
01
6244
MEDICARE GROUP
KY
Enumeration date
09/26/2006
Last updated
05/07/2026
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