TRUMBULL LABORATORIES, LLC (NPI# 1063449320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063449320 |
| Entity Type | Organization |
| Organization Name | TRUMBULL LABORATORIES, LLC |
| Other Organization Name | TRUMBULL LABS |
| Practice Address |
7550 Wolf River Blvd Suite 200 Germantown TN 38138-1745 |
| Practice Telephone | 9015426801 |
| Practice Fax Number | 9015426871 |
| Mailing Telephone | 9015426801 |
| Mailing Fax Number | 9015426871 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-12-09 |
| Authorized Official Name | NORMAN O HILL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9015426801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 0000003329 | TN | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICAID | 0120065 | 01 |
| TN | 3403400 | 05 | |
| TN | MEMPHIS MANAGED CARE | 000000009507 | 01 |
| AR | MEDICAID | 136329709 | 01 |
| RAIL ROAD MEDICARE | 690008145 | 01 | |
| TN | BLUE CROSS BLUE SHIELD | 4085060 | 01 |
| MO | MEDICAID | 703898908 | 01 |
| TN | BLUE CARE | 4085060 | 01 |
| Other Name | Type Code |
|---|---|
| Trumbull Labs | Doing Business As Name - Organization |
| Street Address |
7550 WOLF RIVER BLVD SUITE 200 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124363 | Heather Sehnert Baldwin | Family Medicine | 7550 Wolf River Blvd, Suite 200, Germantown, TN 38138-1780 | 2005-09-14 |
| 1972988749 | Elizabeth Pade Smith | Physical Therapist | 7550 Wolf River Blvd, Suite 101, Germantown, TN 38138-1780 | 2015-07-22 |
| 1225326101 | Elizabeth Dee Lesley | Physical Therapist | 7550 Wolf River Blvd, Suite 101, Germantown, TN 38138-1780 | 2011-07-13 |
| 1225299761 | Brett Scher | Nurse Practitioner | 7550 Wolf River Blvd, Suite 102, Germantown, TN 38138-1780 | 2008-06-18 |
| 1538388012 | Matthew A Dress | Pathology | 7550 Wolf River Blvd, Suite 200, Germantown, TN 38138-1745 | 2007-04-24 |
| 1093852352 | John Brown Thomison IIi | Pathology | 7550 Wolf River Blvd, Suite 200, Germantown, TN 38138-1780 | 2007-01-30 |
| 1467532754 | Mid-south Internal Medicine Specialists, P.C. | Internal Medicine | 7550 Wolf River Blvd, Suite 102, Germantown, TN 38138-1780 | 2006-10-17 |
| 1659483949 | Louis G Talbert | Internal Medicine | 7550 Wolf River Blvd, # 102, Germantown, TN 38138-1780 | 2006-08-31 |
| 1467562678 | George Chu | Internal Medicine | 7550 Wolf River Blvd, Suite 102, Germantown, TN 38138-1780 | 2006-08-30 |
| 1871503672 | Michael R Pruett | Internal Medicine | 7550 Wolf River Blvd, Suite 102, Germantown, TN 38138-1780 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| 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. |
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| 1770722100 | Clongen Laboratories, LLC | Clinical Medical Laboratory | 12321 Middlebrook Rd, Suite 120, Germantown, MD 20874-1591 | 2009-02-09 |
| 1164801262 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | W168n11237 Western Ave, Germantown, WI 53022-3239 | 2015-05-21 |
| 1477638054 | Advanced Healthcare, S.c. | Clinical Medical Laboratory | N112w17975 Mequon Rd, Germantown, WI 53022-2425 | 2006-10-25 |
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| 1316547474 | United Medical Lab LLC | Clinical Medical Laboratory | 3201 Easton Ave, Chattanooga, TN 37415-4715 | 2020-10-28 |
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1700492642 | Tox Crew Inc | Clinical Medical Laboratory | 9111 Cross Park Dr Ste E138, Knoxville, TN 37923-4537 | 2020-09-16 |
| 1851901375 | Jamie Platt | Clinical Medical Laboratory | 725 Loudon View Ln, Friendsville, TN 37737-2301 | 2020-08-10 |
| 1417567975 | Sharonda Muse | Clinical Medical Laboratory | 106 Rifle Range Rd, Old Hickory, TN 37138 | 2020-08-08 |
| 1366065005 | Neovect Technologies, LLC | Clinical Medical Laboratory | 287 Wilkinson Pl, Memphis, TN 38111-6125 | 2020-05-27 |
| 1588283063 | Peter Dereva | Clinical Medical Laboratory | 2000 Glen Echo Rd Ste 105, Nashville, TN 37215-2857 | 2020-04-14 |
| 1841846136 | State of Franklin Healthcare Associates Pllc | Clinical Medical Laboratory | 215 E Springbrook Dr, Johnson City, TN 37601-1761 | 2019-08-13 |
| 1619522133 | Tennessee Oncology, Pllc | Clinical Medical Laboratory | 4488 Carothers Pkwy, Suite 310, Franklin, TN 37067 | 2019-08-02 |
| 1184282923 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 501 19th St Ste 300, Knoxville, TN 37916-1854 | 2019-06-05 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.