The Sapphire Group Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

44D2067576 Issued in TN

Legal business name

THE SAPPHIRE GROUP INC

Practice address

4466 Elvis Presley Blvd
Suite 115
Memphis, TN 38116-7180

Phone

(901) 300-6451

Fax

(855) 647-3546

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Henderson Wilborn II

Title

President/Director

Phone

(901) 300-6451

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1134559073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 ELVIS PRESLEY BLVD",
            "address_2": "SUITE 115",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167180",
            "telephone_number": "901-300-6451",
            "fax_number": "855-647-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 ELVIS PRESLEY BLVD",
            "address_2": "SUITE 115",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167180",
            "telephone_number": "901-300-6451",
            "fax_number": "855-647-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAPPHIRE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "WILBORN",
        "authorized_official_first_name": "HENDERSON",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "901-300-6451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "44D2067576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730519711",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 13, 2013; 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.