Organization
THE SAPPHIRE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENDERSON WILBORN II (PRESIDENT/DIRECTOR)
(901) 300-6451
Entity
Organization
Contact information
Practice address
4466 ELVIS PRESLEY BLVD, SUITE 115, MEMPHIS, TN 38116-7180
(901) 300-6451
(855) 647-3546
Mailing address
4466 ELVIS PRESLEY BLVD, SUITE 115, MEMPHIS, TN 38116-7180
(901) 300-6451
(855) 647-3546
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
44D2067576
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730519711
—
TN
Enumeration date
11/13/2013
Last updated
11/13/2013
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