STATE OF TENNESSEE (NPI# 1689862286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689862286 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | TENNESSEE DEPARTMENT OF HEALTH, LABORATORY SERVICES |
| Practice Address |
630 Hart Lane Nashville TN 37243-0001 |
| Mailing Address |
630 Hart Lane Nashville TN 37243 |
| Practice Telephone | 6152626300 |
| Practice Fax Number | 6152626393 |
| Mailing Telephone | 6152626300 |
| Mailing Fax Number | 6152626393 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | KIMBERLI FITZPATRICK (BILLING AND OPERATIONS MANAGER) |
| Authorized Official Telephone | 4233072330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 0000002285 | TN | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CMS - CLIA | 44D0659062 | 01 | |
| TN | TN STATE LICENSURE | 0000002285 | 01 |
| Other Name | Type Code |
|---|---|
| Tennessee Department of Health, Laboratory Services | Doing Business As Name - Organization |
| Tennessee Department of Health, Laboratory Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| Street Address |
630 HART LANE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37243-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699086652 | Andrea K Miller | Pharmacist | 665 Mainstream Dr Fl 2, Nashville, TN 37243 | 2010-06-24 |
| 1386862035 | James Albert Gillcrist | Dentist | 310 Great Circle Road, Nashville, TN 37243 | 2007-04-20 |
| 1760515159 | Leonard Chewning Lindsay | Registered Nurse | 425 5th Ave N, 1st Floor, Cordell Hull Bldg, Nashville, TN 37243 | 2007-03-14 |
| 1013090323 | Courtney Gayle Holtsclaw | Case Manager/Care Coordinator | 401 Holston Dr, Greeneville, TN 37243 | 2006-10-23 |
| 1205358074 | Erica Brooke Schlesinger | Pharmacist | 500 Deaderick St, Nashville, TN 37243-0001 | 2017-07-12 |
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1801173695 | Kyla Brooks Webb | Registered Nurse | Tennessee Department of Health Mid, 710 Hart Lane, Nashville, TN 37243-0001 | 2011-11-08 |
| 1922339571 | Karen Spann | Registered Nurse | Mid Cumberland Regional Ofc, 710 Hart Lane, Nashville, TN 37243-0001 | 2010-01-21 |
| 1912232901 | Bridget Kathleen Mccabe | Pediatrics | Tennessee Dept Ofhealth, 425 5th Avenue North, Cordell Hull Bldg, 4th Floor, Nashville, TN 37243-0001 | 2009-10-08 |
| 1003000282 | Rosie K Blakemore | Nurse Practitioner | Tennessee Prison for Women, 3881 Stewarts Lane, Nashville, TN 37243-0001 | 2007-08-30 |
| Find all providers in zip 37243 | ||||
| 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 |
|---|---|---|---|---|
| 1588283063 | Peter Dereva | Clinical Medical Laboratory | 2000 Glen Echo Rd Ste 105, Nashville, TN 37215-2857 | 2020-04-14 |
| 1497269120 | Pinnacle Biolabs LLC | Clinical Medical Laboratory | 315 Deaderick St Ste 1550, Nashville, TN 37238-3003 | 2017-11-16 |
| 1750810057 | Iquity Labs, Inc. | Clinical Medical Laboratory | 111 10th Ave S Ste 100, Nashville, TN 37203-3806 | 2017-06-08 |
| 1760857023 | Results Laboratories LLC | Clinical Medical Laboratory | 624 Grassmere Park Ste 1, Nashville, TN 37211-3674 | 2015-12-11 |
| 1417346792 | Aegis Sciences Corporation | Clinical Medical Laboratory | 365 Great Circle Rd, Nashville, TN 37228-1703 | 2015-01-09 |
| 1508275082 | Industry Lab Diagnostic Partners LLC | Clinical Medical Laboratory | 8122 Sawyer Brown Rd Ste 210, Nashville, TN 37221-1411 | 2014-08-08 |
| 1982046405 | Easy Moblie Labs, Inc | Clinical Medical Laboratory | 149 Space Park S, Nashville, TN 37211-3123 | 2013-07-25 |
| 1518203777 | Diagnovus, LLC | Clinical Medical Laboratory | 336 Hill Ave, Suite 302, Nashville, TN 37210-4712 | 2012-12-17 |
| 1255633996 | Fortier Substance Abuse Testing, Inc. | Clinical Medical Laboratory | 2267 Jackson Downs Blvd, Nashville, TN 37214-2300 | 2010-12-01 |
| 1700912144 | Laboratory Corporation of America | Clinical Medical Laboratory | 300 20th Ave N Fl 4, Nashville, TN 37203-2131 | 2007-02-27 |
| Find all providers in NASHVILLE | ||||
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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.