44D1102122 CLIA NUMBER - BLOUNT HEART CONSULTANTS

Laboratory Demographics

  • CLIA Code: 44D1102122
  • Facility Name: BLOUNT HEART CONSULTANTS
  • Facility Address: 907 E LAMAR ALEXANDER PARKWAY, STE 162 MOB
    MARYVILLE, TN
    ZIP 37804
  • Facility Phone: 865 982-7681
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN JANE SOUTHER MD
  • NPI Number: 1982731063
  • Taxonomy: 231H00000X - Audiologist

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CLIA Record

Field Name Field Value
CLIA Number 44D1102122
LAB Type Physician Office
Facility Name BLOUNT HEART CONSULTANTS
Street 907 E LAMAR ALEXANDER PARKWAY, STE 162 MOB
City MARYVILLE
State TN
ZIP 37804
Phone 865 982-7681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director SUSAN JANE SOUTHER MD

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