Organization Active NPI

Reproductive Specialty Laboratory of Tennessee, LLC

  • Clinical Medical Laboratory
  • Nashville, TN
National Provider Identifier
1114148277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
3287 Issued in TN
Legal business name
REPRODUCTIVE SPECIALTY LABORATORY OF TENNESSEE, LLC
Practice address
345 23Rd Ave N
Suite 401
Nashville, TN 37203-1513
Phone
(615) 321-4740
Fax
(615) 320-0240
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melanie R. Freeman, PH.D.
Title
Clinical Laboratory Director
Phone
(815) 321-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 3287 TN Primary

Addresses

Primary practice location

345 23Rd Ave N
Suite 401
Nashville, TN 37203-1513

Mailing address

345 23Rd Ave N
Suite 401
Nashville, TN 37203-1513
Phone (615) 321-4740

National Provider Directory

National Provider Directory

Locations

345 23rd Ave N
Ste 401
Nashville, TN 37203
Phone (615) 277-2410

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114148277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 23RD AVE N",
            "address_2": "SUITE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031513",
            "telephone_number": "615-321-4740",
            "fax_number": "615-320-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 23RD AVE N",
            "address_2": "SUITE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031513",
            "telephone_number": "615-321-4740",
            "fax_number": "615-320-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRODUCTIVE SPECIALTY LABORATORY OF TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "815-321-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "3287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.