Organization
STATE OF TENNESSEE
Active
Other names
Memphis and Shelby County Health Dept Laboratory, MEMPHIS AND SHELBY COUNTY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLI FITZPATRICK BA (BILLING AND OPERATIONS MANAGER)
(423) 307-2330
Entity
Organization
Contact information
Practice address
814 JEFFERSON AVE, MEMPHIS, TN 38105-5041
(901) 544-7597
(901) 544-7602
Mailing address
814 JEFFERSON AVE, MEMPHIS, TN 38105-5041
(901) 544-7597
(901) 544-7602
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000002280
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44D0663079
CLIA
TN
Enumeration date
02/12/2009
Last updated
09/26/2019
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