MEMPHIS IMAGING AND PATHOLOGY MIP (NPI# 1043458730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043458730 |
| Entity Type | Organization |
| Organization Name | MEMPHIS IMAGING AND PATHOLOGY MIP |
| Other Organization Name | MIP |
| Practice Address |
1417 Monroe Ave Memphis TN 38104-3634 |
| Practice Telephone | 9012727200 |
| Practice Fax Number | 9012605916 |
| Mailing Telephone | 9012727200 |
| Mailing Fax Number | 9012605916 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |
| Authorized Official Name | DR. PHILLIP RODNEY BOWDEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9012727200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 44D0912700 | TN | Laboratories |
| Other Name | Type Code |
|---|---|
| MIP | Other Name - Individual/Organization |
| Street Address |
1417 MONROE AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275649063 | Mid-south Gastroenterology Group, Inc. | Clinic/Center | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2006-08-22 |
| 1336607720 | Lora M Ramsey | Nurse Practitioner | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2019-03-05 |
| 1679071906 | Better Body Memphis LLC | Clinic/Center | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2018-02-01 |
| 1952820037 | Bowden Gastro Associates LLC | Clinic/Center | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2017-09-11 |
| 1396261905 | Mario Johnson | Anesthesiology | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2017-08-15 |
| 1427492693 | Anikia Shante Billington | Nurse Practitioner | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2013-04-18 |
| 1801148572 | Sheryl Lynn Foster | Nurse Practitioner | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2012-10-05 |
| 1407090889 | Marshe Dyane Turner | Nurse Practitioner | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2009-04-28 |
| 1487861134 | Inderrya D Armstrong | Nurse Practitioner | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2007-05-16 |
| 1730231929 | Gail G. Gibson | Nurse Practitioner | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | 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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065005 | Neovect Technologies, LLC | Clinical Medical Laboratory | 287 Wilkinson Pl, Memphis, TN 38111-6125 | 2020-05-27 |
| 1164910758 | Urban Alpha | Clinical Medical Laboratory | 6286 Quince Rd, Memphis, TN 38119-7629 | 2018-04-29 |
| 1205355377 | Cquentia Ngs, LLC | Clinical Medical Laboratory | 3742 Tyndale Dr, Memphis, TN 38125-8500 | 2017-09-11 |
| 1124442306 | Total Diagnostix II, LLC | Clinical Medical Laboratory | 3740 Business Dr Ste 101, Memphis, TN 38125-3971 | 2014-02-10 |
| 1114286523 | Quest Diagnostics Tb LLC | Clinical Medical Laboratory | 5846 Distribution Dr, Memphis, TN 38141-8203 | 2012-05-07 |
| 1124202668 | Priority Sleep Diagnostic Center LLC | Clinical Medical Laboratory | 3650 Southwind Park Cove, Suite 104, Memphis, TN 38125 | 2007-12-19 |
| 1144429929 | Concentra Laboratory LLC | Clinical Medical Laboratory | 3560 Air Center Cv, Suite 101, Memphis, TN 38118-3626 | 2007-07-12 |
| 1548479801 | Mosaic Prime | Clinical Medical Laboratory | 20 Dudley St, Suite 250, Memphis, TN 38103-4904 | 2007-05-22 |
| 1770622177 | Silicone Ocular | Clinical Medical Laboratory | 6 W Ge Patterson Ave, Suite 101, Memphis, TN 38103-6413 | 2007-02-05 |
| 1669518221 | Memphis Clinical Laboratory Inc | Clinical Medical Laboratory | 4088 Barton Dr, Memphis, TN 38116-5821 | 2007-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.