Active NPI
Adidas Eddings
- Medical Technologist
- Memphis, TN
National Provider Identifier
1023719192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 25460
- Practice address
- 5959 Park Ave
Memphis, TN 38119-5200 - Phone
- (901) 831-1876
- NPI assigned
- Mar 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 25460 | TN | Primary |
Addresses
Primary practice location
5959 Park Ave
Memphis, TN 38119-5200
Mailing address
3205 Lamphier Ave
Memphis, TN 38112-1523
Phone (901) 831-1876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1023719192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 LAMPHIER AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381121523",
"telephone_number": "901-831-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 PARK AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195200",
"telephone_number": "901-831-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDINGS",
"first_name": "ADIDAS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "TN",
"license": "25460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.