State of Tennessee

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0000002280 Issued in TN

Legal business name

STATE OF TENNESSEE

Doing business as

Memphis and Shelby County Health
Memphis and Shelby County Health Dept Laboratory

Practice address

814 Jefferson Ave
Memphis, TN 38105-5041

Phone

(901) 544-7597

Fax

(901) 544-7602

NPI assigned

Feb 12, 2009

Last updated

Sep 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberli Fitzpatrick, BA

Title

Billing and Operations Manager

Phone

(423) 307-2330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• MEMPHIS AND SHELBY COUNTY HEALTH Doing business as
• Memphis and Shelby County Health Dept Laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1083853105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055041",
            "telephone_number": "901-544-7597",
            "fax_number": "901-544-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055041",
            "telephone_number": "901-544-7597",
            "fax_number": "901-544-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "KIMBERLI",
        "authorized_official_title_or_position": "BILLING AND OPERATIONS MANAGER",
        "authorized_official_telephone_number": "423-307-2330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000002280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "44D0663079",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEMPHIS AND SHELBY COUNTY HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memphis and Shelby County Health Dept Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathene Lynne Stark, RD, LDN
• Starlight ABA TN LLC
• Sherika Ilean Starnes-Patterson, RBT M.ED
• Deborah Starr
• Richard Starr
• State of Tennessee State F & a Payroll (Memphis Mental Health Institute)
• Natalie Staten
• Catherine Meghan Steadman-Hairston, NP
• Ellen J Stecker, MD
• Scott A Steel, OD

• Clinical Medical Laboratory in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.