44D2004724 CLIA NUMBER - JAMES E FOX, MD, PLLC DBA ACTIVE HEALTHCARE CENTER

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Laboratory Demographics

CLIA Number: 44D2004724

Facility Name: JAMES E FOX, MD, PLLC DBA ACTIVE HEALTHCARE CENTER

Facility Address:
300 PROSPERITY DR, SUITE 103
KNOXVILLE, TN
ZIP 37923
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Facility Phone Number: 865 246-5899

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1508107533

Taxonomy: 261QP3300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2004724
LAB Type	Physician Office
Facility Name	JAMES E FOX, MD, PLLC DBA ACTIVE HEALTHCARE CENTER
Street	300 PROSPERITY DR, SUITE 103
City	KNOXVILLE
State	TN
ZIP	37923
Phone	865 246-5899
CertificateType	2
CertificateEffectiveDate	9/3/2022
CertificateExpirationDate	9/2/2024
FacilityType	Compliance

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