Organization
TRUMBULL LABORATORIES, LLC
Active
Other names
Trumbull Labs
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN O HILL (EXECUTIVE DIRECTOR)
(901) 542-6801
Entity
Organization
Contact information
Practice address
7550 WOLF RIVER BLVD, SUITE 200, GERMANTOWN, TN 38138-1745
(901) 542-6801
(901) 542-6871
Mailing address
7550 WOLF RIVER BLVD, SUITE 200, GERMANTOWN, TN 38138-1745
(901) 542-6801
(901) 542-6871
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000003329
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009507
MEMPHIS MANAGED CARE
TN
01
—
0120065
MEDICAID
MS
01
—
136329709
MEDICAID
AR
05
—
3403400
—
TN
01
—
4085060
BLUE CARE
TN
01
—
690008145
RAIL ROAD MEDICARE
—
01
—
703898908
MEDICAID
MO
Enumeration date
06/26/2006
Last updated
12/09/2008
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