NPIMap

Organization Active NPI

Trumbull Laboratories, LLC

Doing business as Trumbull Labs

  • Clinical Medical Laboratory
  • Germantown, TN
National Provider Identifier
1063449320
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0000003329 Issued in TN
Legal business name
TRUMBULL LABORATORIES, LLC
Doing business as
Trumbull Labs
Practice address
7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745
Phone
(901) 542-6801
Fax
(901) 542-6871
NPI assigned
Jun 26, 2006
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norman O Hill
Title
Executive Director
Phone
(901) 542-6801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0000003329 TN Primary

Addresses

Primary practice location

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745

Mailing address

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1745
Phone (901) 542-6801

Other identifiers 8

IdentifierTypeStateIssuer
000000009507OtherTNMEMPHIS MANAGED CARE
690008145OtherRAIL ROAD MEDICARE
4085060OtherTNBLUE CROSS BLUE SHIELD
4085060OtherTNBLUE CARE
703898908OtherMOMEDICAID
3403400MedicaidTN
0120065OtherMSMEDICAID
136329709OtherARMEDICAID

Other names 1

  • Trumbull Labs Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1063449320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381745",
            "telephone_number": "901-542-6801",
            "fax_number": "901-542-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381745",
            "telephone_number": "901-542-6801",
            "fax_number": "901-542-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMBULL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-542-6801"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000003329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMPHIS MANAGED CARE",
            "identifier": "000000009507",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "690008145",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4085060",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "4085060",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "703898908",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403400",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0120065",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "136329709",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trumbull Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.