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CLINICAL CYTOGENETIC SERVICES NPI 1740534023


NPI Information

NPI: 1740534023
Provider Name: CLINICAL CYTOGENETIC SERVICES
Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

Address:
1928 ALCOA HWY
SUITE B-206
KNOXVILLE, TN
ZIP 37920
Phone: (865) 305-6505
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CLINICAL CYTOGENETIC SERVICES is a clinical genetics (m.d.) medical genetics in Knoxville, TN. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. CLINICAL CYTOGENETIC SERVICES NPI is 1740534023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1928 ALCOA HWY
SUITE B-206
KNOXVILLE, TN
ZIP 37920-502
Phone: (865) 305-6505
Fax: (865) 305-6516

The provider's authorized official is Carmen B Lozzio .
The authorized official title is Sole Proprietor and has the following contact phone number (865) 305-6505.

The enumeration date for this NPI number is 11/7/2012 and was last updated on 11/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)MD0000009071TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B03960MEDICARE UPINTENNESSEE
21003962002OTHERINDIVIDUAL NPI
3103I375801MEDICARE PINTENNESSEE
43181311MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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