SMG Lab PLLC Idtf

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0000000544 Issued in TN

Legal business name

SMG LAB PLLC IDTF

Practice address

575 E Bledsoe St
Suite 7
Gallatin, TN 37066-3054

Phone

(615) 452-2511

NPI assigned

Jul 3, 2008

Organization subpart

Yes

Parent organization

SUMNER MEDICAL GROUP PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Alton Sid King Jr., MD

Title

Medical Director

Phone

(615) 230-8070

Specialties & licenses 1

Addresses

Part of

SMG Lab PLLC Idtf

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sumner Medical Group, PLLC

  • Internal Medicine Physician
  • Gallatin, TN
  • NPI 1871622779
  NPPES parent name

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1114180619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD",
            "address_2": "SUITE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663032",
            "telephone_number": "615-230-8070",
            "fax_number": "615-452-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E BLEDSOE ST",
            "address_2": "SUITE 7",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663054",
            "telephone_number": "615-452-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMG LAB PLLC IDTF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMNER MEDICAL GROUP PLLC",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ALTON",
        "authorized_official_middle_name": "SID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-230-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000000544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzie Michelle Slayden, M.A., CCC-A
• Sleep Management, L.L.C.
• Jamie Lynn Sloan
• Shawn R Smallwood, LMSW
• Smash Factor Performance and Prevention
• Carol Smith, SLP-CCC
• Deborah Hope Smith, LMSW
• Earl Phillip Smith, DDS
• Haley Collard Smith, COTA/L
• Holly Smith

• Clinical Medical Laboratory in Gallatin, TN
• Providers in Gallatin, 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 Jul 3, 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.