WOODBURY CLINICAL LABORATORY, INC. (NPI# 1801851233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801851233 |
| Entity Type | Organization |
| Organization Name | WOODBURY CLINICAL LABORATORY, INC. |
| Practice Address |
305 E High St Lebanon TN 37087-2901 |
| Mailing Address |
Po Box 2309 Lebanon TN 37088-2309 |
| Practice Telephone | 6154437588 |
| Practice Fax Number | 6154437458 |
| Mailing Telephone | 6154437588 |
| Mailing Fax Number | 6154437458 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | MRS. DELIA OLDHAM (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6154437588 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN ESOTERIC LABORATORIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 0000002135 | TN | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE MEDICAL LABORATORY | 0000002135 | 01 |
| TN | CLIA CERTIFICATE OF COMPL | 44D0659026 | 01 |
| Street Address |
305 E HIGH ST |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| 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 |
|---|---|---|---|---|
| 1831462159 | Celdara Medical LLC | Clinical Medical Laboratory | 16 Cavendish Ct, Suite 240, Lebanon, NH 03766-1441 | 2012-02-16 |
| 1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
| 1558493767 | Witham Memorial Hospital | Clinical Medical Laboratory | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2007-03-12 |
| 1083757348 | Spring View Hospital LLC | Clinical Medical Laboratory | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2007-02-15 |
| 1417009291 | Lebanon Internal Medicine Associates PC | Clinical Medical Laboratory | 755 Norman Dr, Lebanon, PA 17042-7497 | 2007-01-18 |
| 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 |
| 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 |
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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.