Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Other names
EAST TENNESSEE REPRODUCTIVE LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization
Contact information
Practice address
VA BLDG 119, DOGWOOD LANE, MOUNTAIN HOME, TN 37684-0699
(423) 433-6050
(423) 433-6060
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6050
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2147
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235200676
LAB GROUP NPI
—
01
—
2147
STATE LICENSE
TN
Enumeration date
09/20/2006
Last updated
10/09/2025
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