Organization
CLINICAL ASSOCIATES, LLC
Active
Parent organization
NORTON ENTERPRISES INC
Other names
CPA Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTON ENTERPRISES INC
Authorized official
DIANNE S ROWAN (DIRECTOR FINANCE BILLING)
(502) 897-9594
Entity
Organization
Contact information
Practice address
2935 BRECKENRIDGE LN STE 101, LOUISVILLE, KY 40220-1408
(502) 897-9594
(502) 896-1808
Mailing address
PO BOX 538359, ATLANTA, GA 30353-8359
(502) 897-9594
(502) 896-1808
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200291
KY
291U00000X
Clinical Medical Laboratory
200291
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000058863
ANTHEM - - BLUE CROSS BLUE SHIELD
KY
01
—
000000061989
ANTHEM WELLPOINT
KY
01
—
020379400
BLACK LUNG PROGRAM
KY
05
—
100009130
—
IN
01
—
1049047
PASSPORT KY MEDICAID
KY
01
—
163387800
FECA
KY
01
—
2432349000
PASSPORT ADVANTAGE
KY
05
—
65908972
—
KY
Enumeration date
05/27/2005
Last updated
09/23/2021
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