REPRODUCTIVE LABORATORY OF TENNESSEE, INC. (NPI# 1558765552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558765552 |
| Entity Type | Organization |
| Organization Name | REPRODUCTIVE LABORATORY OF TENNESSEE, INC. |
| Other Organization Name | REPRODUCTIVE LABORATORY, INC |
| Practice Address |
80 Humphreys Center Suite 307 Memphis TN 38120-2363 |
| Mailing Address |
80 Humphreys Center Suite 307 Memphis TN 38120 |
| Practice Telephone | 9017472229 |
| Practice Fax Number | 9017474446 |
| Mailing Telephone | 9017472229 |
| Mailing Fax Number | 9017474446 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | DR. WILLIAM H KUTTEH (LABORATORY DIRECTOR) |
| Authorized Official Telephone | 9017472229 |
| Authorized Official Credential | MD, PHD, HCLD, C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 0000003317 | TN | Laboratories |
| Other Name | Type Code |
|---|---|
| Reproductive Laboratory, Inc | Former Legal Business Name - Organization |
| Street Address |
80 HUMPHREYS CENTER SUITE 307 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679560288 | James K Stamps | Pediatrics | 80 Humphreys Center, Suite 230, Memphis, TN 38120 | 2005-09-29 |
| 1295080190 | Memphis Pediatric Heart | Pediatrics | 80 Humphreys Center, Suite 230, Memphis, TN 38120 | 2012-07-17 |
| 1184945289 | Lisa W Warren | Registered Nurse | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2010-06-13 |
| 1558528174 | Joseph R Feltman | Nurse Anesthetist, Certified Registered | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2008-05-21 |
| 1659558260 | Edward S Friedman | Internal Medicine | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2008-01-25 |
| 1710186473 | Paul Robert Brezina | Obstetrics & Gynecology | 80 Humphreys Center, Suite 307, Memphis, TN 38120-2363 | 2007-07-13 |
| 1619054442 | Paul J Koltnow | Physician Assistant | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2006-11-01 |
| 1912919556 | Samuel J Feltman | Nurse Anesthetist, Certified Registered | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2006-08-12 |
| 1144245234 | Paul S Bierman | Internal Medicine | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2006-07-12 |
| 1285659383 | Kenneth I Fields | Internal Medicine | 80 Humphreys Center, Suite 200, Memphis, TN 38120 | 2006-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
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| 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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| 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.