Organization
STAT DIAGNOSTICS, INC.
Active
Other names
NewGen Advanced Orthotics lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN COHEN (PRESIDENT)
(901) 756-0257
Entity
Organization
Contact information
Practice address
7730 TRINITY RD, SUITE 104A, CORDOVA, TN 38018-2723
(901) 757-0878
(901) 751-6574
Mailing address
2092 DALKEITH DR, GERMANTOWN, TN 38139-3408
(901) 756-0256
(901) 624-2073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454622
—
TN
05
—
158385716
—
AR
Enumeration date
05/23/2006
Last updated
12/23/2011
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