44D1040365 CLIA NUMBER - INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 44D1040365
  • Facility Name: INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 121 MAYFIELD DRIVE
    SMYRNA, TN
    ZIP 37167
  • Facility Phone: 615 474-2424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: UKPONG E. NWANKWO MD
  • NPI Number: 1669671368
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1040365
LAB Type Physician Office
Facility Name INTERNAL MEDICINE ASSOCIATES
Street 121 MAYFIELD DRIVE
City SMYRNA
State TN
ZIP 37167
Phone 615 474-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director UKPONG E. NWANKWO MD

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This page was last updated on: 9/29/2025