Individual provider · Type 1 NPI

Kiwanis Rucker

Clinical Medical Laboratory · Nashville, TN

NPI number 1649196114 Active

Practice location

4909 Alabama Ave # 1033
Nashville, TN 37209-3449

Specialties and licenses

Taxonomy	Code	License
Non-emergency Medical Transport (VAN)	343900000X	None listed
Clinical Medical Laboratory Primary	291U00000X	None listed

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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About NPI 1649196114

Kiwanis Rucker's National Provider Identifier is 1649196114, issued on Jun 27, 2026. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Nashville, TN. The record was last updated on Jun 27, 2026.