44D0969102 CLIA NUMBER - TENNESSEE ONCOLOGY, PLLC

Laboratory Demographics

CLIA Number: 44D0969102

Facility Name: TENNESSEE ONCOLOGY, PLLC

Facility Address:
776 WEATHERLY DRIVE, STE A
CLARKSVILLE, TN
ZIP 37043
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Facility Phone Number: 615 986-4317

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1457303083

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	44D0969102
LAB Type	Physician Office
Facility Name	TENNESSEE ONCOLOGY, PLLC
Street	776 WEATHERLY DRIVE, STE A
City	CLARKSVILLE
State	TN
ZIP	37043
Phone	615 986-4317
CertificateType	2
CertificateEffectiveDate	9/17/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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