INTEGRALABS MDG INCORPORATED (NPI# 1487087003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487087003 |
| Entity Type | Organization |
| Organization Name | INTEGRALABS MDG INCORPORATED |
| Practice Address |
2203 Mckinley Rd Suite 120 Johnson City TN 37604-6893 |
| Mailing Address |
Po Box 1736 Bristol VA 24203-1736 |
| Practice Telephone | 4233283026 |
| Practice Fax Number | 4233283027 |
| Mailing Telephone | 4233283026 |
| Mailing Fax Number | 4233283027 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | REYNALDO MARTINEZ (PRESIDENT) |
| Authorized Official Telephone | 4233283026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 44D2061419 | TN | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CLIA | 44D2061419 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Integralabs MDG Incorporated | 136a Industrial Park Rd, Piney Flats, Tennessee 37686 |
| North Carolina Corporations | Integralabs MDG Incorporated | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Street Address |
2203 MCKINLEY RD SUITE 120 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316995491 | Robert Elsworth Grindstaff | Family Medicine | 2203 Mckinley Rd, Ste 107, Johnson City, TN 37604-6893 | 2006-05-04 |
| 1619443520 | Angela Dykes | Occupational Therapist | 2203 Mckinley Rd, Johnson City, TN 37604-6893 | 2018-10-17 |
| 1699279901 | Ashley Johnson | Registered Nurse | 2203 Mckinley Rd, Johnson City, TN 37604-6893 | 2018-03-21 |
| 1447680582 | Amanda Lynn Mcgill | Dental Hygienist | 2203 Mckinley Rd, Johnson City, TN 37604-6893 | 2013-11-26 |
| 1891024741 | David J Bumgarner | Counselor | 2203 Mckinley Rd, Johnson City, TN 37604 | 2009-12-23 |
| 1376728402 | Nput LLC | Durable Medical Equipment & Medical Supplies | 2203 Mckinley Rd, Ste 230, Johnson City, TN 37604-6474 | 2008-01-08 |
| 1609924463 | First Tennessee Human Resource Agency | Non-emergency Medical Transport (VAN) | 2203 Mckinley Rd, Suite 210, Johnson City, TN 37604-6474 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1841846136 | State of Franklin Healthcare Associates Pllc | Clinical Medical Laboratory | 215 E Springbrook Dr, Johnson City, TN 37601-1761 | 2019-08-13 |
| 1457772592 | American Toxicology Lab, LLC | Clinical Medical Laboratory | 414 E Watauga Ave, Johnson City, TN 37601-4037 | 2013-12-16 |
| 1336408996 | Medical Education Assistance Corporation | Clinical Medical Laboratory | 1319 Sunset Dr Ste 103, Johnson City, TN 37604 | 2012-05-16 |
| 1922086123 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 402 Princeton Rd, Johnson City, TN 37601-2057 | 2006-01-06 |
| 1750642112 | Microbac Healthcare Services, LLC | Clinical Medical Laboratory | 2109 W Market St, Suite 151, Johnson City, TN 37604-6024 | 2012-06-01 |
| 1174820971 | Watauga Pathology Associates PC | Clinical Medical Laboratory | 1725 W Market St, Johnson City, TN 37604-6020 | 2011-02-15 |
| 1891861373 | Medicaleducationassistancecorporationdbauniversityphysicianspracticegr | Clinical Medical Laboratory | 325 N State of Franklin Rd, Johnson City, TN 37604 | 2006-11-28 |
| 1235200676 | Medical Education Assistance Corporation | Clinical Medical Laboratory | 222 E Main St, Johnson City, TN 37604 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1386105914 | Idl Acquisition Co, LLC | Clinical Medical Laboratory | 357 Riverside Dr Ste 1001, Franklin, TN 37064-8996 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.