# TRISTAR BONE MARROW TRANSPLANT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861869596
- **Authorized official:** LOUIS JOSEPH (VICE PRESIDENT)
- **Authorized official phone:** (615) 373-7630

## Contact information

- **Practice address:** 2410 PATTERSON ST STE 500, NASHVILLE, TN 37203-6521
- **Practice address phone:** (615) 342-7440
- **Mailing address:** 2000 HEALTH PARK DR STE 280, BRENTWOOD, TN 37027-4692
- **Mailing address phone:** (615) 372-5426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/28/2015
- **Last updated:** 09/01/2022