Organization
C AND S LAB MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIELA BRADLEY-WRIGHT (MANAGER)
(901) 574-7070
Entity
Organization
Contact information
Practice address
4299 ELVIS PRESLEY BLVD STE 1, MEMPHIS, TN 38116-6435
(901) 779-8726
Mailing address
4299 ELVIS PRESLEY BLVD STE 1, MEMPHIS, TN 38116-6435
(901) 779-8726
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-36511
CLINICAL MEDICAL LABORATORY
TN
Enumeration date
03/14/2022
Last updated
01/20/2023
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