LUMINUS PATHOLOGY LABORATORY PLLC (NPI# 1518211804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518211804 |
| Entity Type | Organization |
| Organization Name | LUMINUS PATHOLOGY LABORATORY PLLC |
| Practice Address |
1732 Thomas Rd Memphis TN 38134-6313 |
| Practice Telephone | 9013832200 |
| Practice Fax Number | 9013832205 |
| Mailing Telephone | 9013832200 |
| Mailing Fax Number | 9013832205 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | DR. ANDRE C THOMPSON (OWNER) |
| Authorized Official Telephone | 9013832200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
TN | Allopathic & Osteopathic Physicians |
| Street Address |
1732 THOMAS RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795494 | Bruce Leonard Webber | Pathology | 6046 Knight Arnold Road Ext, Suite 101, Memphis, TN 38115-3347 | 2006-07-04 |
| 1871933135 | Cheng-hsuan Chiang | Pathology | 262 Danny Thomas Pl, Memphis, TN 38105 | 2013-07-01 |
| 1205173770 | Duckworth Laboratories Inc. | Pathology | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2013-01-03 |
| 1942487251 | Chukwuma Onwumere Onyeagocha | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125 | 2008-01-29 |
| 1588840706 | Karla Perrizo | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2008-01-17 |
| 1760680631 | Jeffery M Klco | Pathology | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-07-03 |
| 1710100367 | Shefali Bhusnurmath Goyal | Pathology | 877 Jefferson Ave, Chandler Bldg 4th Floor, Memphis, TN 38103-2807 | 2007-04-11 |
| 1164586707 | Ehab Rabaa | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2006-12-20 |
| 1710905468 | Marianna Szabo | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2006-07-18 |
| 1023098928 | Bradly D Clark | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2006-01-18 |
| Find all providers in MEMPHIS | ||||
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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.