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Organization

UNIVERSITY OF TN CYTOGENETICS LAB-MEMPHIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AVIRACHAN THARAPEL PH.D. (DIRECTOR, CYTOGENETICS LABORATORY)
(901) 448-6676
Entity
Organization

Contact information

Practice address
711 JEFFERSON AVE, SUITE 523, MEMPHIS, TN 38105-5003
(901) 448-6676
(901) 448-4117
Mailing address
711 JEFFERSON AVE, SUITE 523, MEMPHIS, TN 38105-5003
(901) 448-6676
(901) 448-4117

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000002103
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3402016
TN
Enumeration date
05/14/2007
Last updated
08/22/2020
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