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MEMPHIS PATHOLOGY LABORATORY NPI 1548370745


NPI Information

NPI: 1548370745
Provider Name: MEMPHIS PATHOLOGY LABORATORY

Doing Business As: AMERICAN ESOTERIC LABORATORIES

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 44D0889744

Address:
1701 CENTURY CENTER CV
MEMPHIS, TN
ZIP 38134
Phone: (901) 405-8200
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MEMPHIS PATHOLOGY LABORATORY is a clinical medical laboratory in Memphis, TN. The provider is (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. MEMPHIS PATHOLOGY LABORATORY NPI is 1548370745. The provider is registered as an organization entity type.
The provider Is Doing Business As American Esoteric Laboratories.

The provider's business location address is:

1701 CENTURY CENTER CV
MEMPHIS, TN
ZIP 38134-975
Phone: (901) 405-8200
Fax: (901) 328-3882

The provider's authorized official is Matthew A Dress .
The authorized official title is President and has the following contact phone number (901) 542-6838.

The CLIA number assigned to this NPI record is 44D0889744 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 4/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory0000002069TENNESSEEYes
2291U00000XClinical Medical Laboratory0000003251TENNESSEENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13403482MEDICAIDTENNESSEE
27100113940MEDICAIDKENTUCKY
33138591OTHERTENNESSEEBLUE CROSS
40121666MEDICAIDMISSISSIPPI
5139749709MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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