Organization
STATE OF TENNESSEE
Active
Parent organization
TENNESSEE DEPARTMENT OF HEALTH
Other names
Jackson Regional Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DEPARTMENT OF HEALTH
Authorized official
DR. ORISTYNE E. WALKER PH.D. (LABORATORY DIRECTOR)
(731) 426-0686
Entity
Organization
Contact information
Practice address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 426-0686
(731) 421-5199
Mailing address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 426-0686
(731) 421-5199
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000002293
TN
Other
Enumeration date
01/30/2009
Last updated
06/16/2009
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