Organization · Type 2 NPI

State of Tennessee

Clinical Medical Laboratory · Nashville, TN

NPI number 1689862286 Active

Practice location

630 Hart Lane
Nashville, TN 37243-0001

Fax (615) 262-6393

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	0000002285 (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: 1689862286
Entity type: Organization (Type 2)
Issued: Oct 9, 2007
Last updated: Sep 23, 2019
Status: Active

Other names

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Tennessee Department of Health, Laboratory Services · doing business as
Tennessee Department of Health, Laboratory Services · other name
Tennessee Department of Health, Laboratory Services · other name

Authorized official

Kimberli Fitzpatrick
Billing and Operations Manager
(423) 307-2330

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689862286

State of Tennessee's National Provider Identifier is 1689862286, issued on Oct 9, 2007. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Nashville, TN. The record was last updated on Sep 23, 2019.