Organization
MIDDLE TENNESSEE ASC, LLC
Active
Parent organization
FPG LABS LLC
Other names
Ovation Fertility
Organization subpart
Yes
Provider details
NPI number
Legal business name
FPG LABS LLC
Authorized official
GOLDIE GUPTA (CFO)
(630) 536-7738
Entity
Organization
Contact information
Practice address
345 23RD AVE NORTH, SUITE 401, NASHVILLE, TN 37203
(818) 858-1080
Mailing address
15821 VENTURA BLVD, SUITE 625, ENCINO, CA 91436
(818) 858-1080
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
0000000173
TN
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/21/2015
Last updated
09/12/2021
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