44D1103432 CLIA NUMBER - ASHOK K MEHTA MD PC

Laboratory Demographics

  • CLIA Code: 44D1103432
  • Facility Name: ASHOK K MEHTA MD PC
  • Facility Address: 4998 CROSSINGS CIRCLE, SUITE 100
    MOUNT JULIET, TN
    ZIP 37122
  • Facility Phone: 615 288-4087
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEIGH RODERICK
  • NPI Number: 1114961596
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1103432
LAB Type Physician Office
Facility Name ASHOK K MEHTA MD PC
Street 4998 CROSSINGS CIRCLE, SUITE 100
City MOUNT JULIET
State TN
ZIP 37122
Phone 615 288-4087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director LEIGH RODERICK

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