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44D0902663 CLIA NUMBER - TENNESSEE ONCOLOGY-LAWRENCEBURG

Laboratory Demographics

CLIA Number: 44D0902663

Facility Name: TENNESSEE ONCOLOGY-LAWRENCEBURG

Facility Address:
2121 NORTH LOCUST AVE, SUITE 2
LAWRENCEBURG, TN
ZIP 38464
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Facility Phone Number: 615 986-4317

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1245298025

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 44D0902663
LAB Type Physician Office
Facility Name TENNESSEE ONCOLOGY-LAWRENCEBURG
Street 2121 NORTH LOCUST AVE, SUITE 2
City LAWRENCEBURG
State TN
ZIP 38464
Phone 615 986-4317
CertificateType 2
CertificateEffectiveDate 10/27/2023
CertificateExpirationDate 10/26/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024