Organization
STATE OF TENNESSEE
Active
Other names
Tennessee Department of Health, Laboratory Services, Tennessee Department of Health, Laboratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLI FITZPATRICK (BILLING AND OPERATIONS MANAGER)
(423) 307-2330
Entity
Organization
Contact information
Practice address
630 HART LANE, NASHVILLE, TN 37243-0001
(615) 262-6300
(615) 262-6393
Mailing address
630 HART LANE, NASHVILLE, TN 37243
(615) 262-6300
(615) 262-6393
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000002285
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002285
TN STATE LICENSURE
TN
01
—
44D0659062
CMS - CLIA
—
Enumeration date
10/09/2007
Last updated
09/23/2019
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