Organization
MDCONNECT HEALTHCARE CORPORATION
Active
Other names
MDConnect LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY SCOTT GREVIOUS (CHIEF EXECUTIVE OFFICER)
(941) 914-8286
Entity
Organization
Contact information
Practice address
1612 DOWNTOWN WEST BLVD, KNOXVILLE, TN 37919-5408
(800) 926-3047
(941) 296-8588
Mailing address
11161 E STATE ROAD 70 UNIT 110, LAKEWOOD RANCH, FL 34202-9407
(800) 926-3047
(941) 296-8588
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/14/2018
Last updated
06/16/2018
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