Organization
INVICTA LABORATORIES LLC
Active
Other names
Nautic Medical Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOGANATHAN DORAISAMY (OWNER)
(858) 472-5590
Entity
Organization
Contact information
Practice address
312 NANCY LYNN LN STE 2, KNOXVILLE, TN 37919-6046
(865) 776-6258
(865) 312-9662
Mailing address
312 NANCY LYNN LN STE 2, KNOXVILLE, TN 37919-6046
(865) 985-0945
(865) 312-9662
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TN
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
07/22/2018
Last updated
12/19/2022
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