Healthcare Provider Details

I. General information

NPI: 1023715885
Provider Name (Legal Business Name): STARTING POINT OF KENTUCKY, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12610 TOWNEPARK WAY
LOUISVILLE KY
40243-2068
US

IV. Provider business mailing address

PO BOX 749057
ATLANTA GA
30374-9057
US

V. Phone/Fax

Practice location:
  • Phone: 800-805-6989
  • Fax:
Mailing address:
  • Phone: 800-805-6989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RUPERT MCCORMAC
Title or Position: PRESIDENT
Credential: MD
Phone: 864-527-3145