Organization · Type 2 NPI

Medical Genetics Lab

Clinical Medical Laboratory · Mountain Home, TN

NPI number 1023229713 Active

Practice location

Building 178, Maple Ave.
Mountain Home, TN 37684

Call (423) 439-7320 Map

Fax (423) 439-7343

Mailing address

PO Box 699
Mountain Home, TN 37684-0699

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	2298 (TN)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1023229713
Entity type: Organization (Type 2)
Issued: May 24, 2007
Last updated: Feb 15, 2019
Status: Active

Other names

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University Physicians Practice Group · doing business as
University Physicians Practice Group · doing business as

Authorized official

Mr. Russell E Lewis
Executive Director
(423) 433-6050

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About NPI 1023229713

Medical Genetics Lab's National Provider Identifier is 1023229713, issued on May 24, 2007. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Mountain Home, TN. The record was last updated on Feb 15, 2019.