OrganizationActive
Ethan Health LLC
NPI 1205342748 · Clinical Medical Laboratory · Richmond, KY
Provider details
- NPI number
- 1205342748
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jennifer Evans, Official Credentialing Manager(859) 317-8714
Specialties & taxonomies
Laboratories
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1623 Foxhaven Dr
Richmond, KY 40475-1056
Phone: (859) 625-5235
Fax: (859) 625-5237
Street-level locationGet directions
Mailing address
1623 Foxhaven Dr
Richmond, KY 40475-1056
Other names (DBA / former)
- Other name
- Ethan Health Lab Services
Registry dates
- Enumerated
- 2017-12-20
- Last updated
- 2017-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.