Concentra Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CONCENTRA LABORATORY LLC

Doing business as

Advanced Toxicology Network

Practice address

3560 Air Center CV
Suite 101
Memphis, TN 38118-3626

Phone

(901) 794-5770

Fax

(901) 794-6460

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Chapman Bogema Jr., PH.D.

Title

Ceo/Lab Director

Phone

(901) 794-5770

Specialties & licenses 1

Addresses

Other names 1

• Advanced Toxicology Network Doing business as

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1144429929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 AIR CENTER CV",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183626",
            "telephone_number": "901-794-5770",
            "fax_number": "901-794-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 AIR CENTER CV",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183626",
            "telephone_number": "901-794-5770",
            "fax_number": "901-794-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "BOGEMA",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "CHAPMAN",
        "authorized_official_title_or_position": "CEO/LAB DIRECTOR",
        "authorized_official_telephone_number": "901-794-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Toxicology Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Claire Compton, DDS, MDS
• Brandon Davis Conaway
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Concentra Laboratory LLC
• Concierge Professional Phlebotomy Service, LLC
• Janet Condle, PTA
• Gregory Josef Condon, MD
• Crystal Conely

• 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 Jul 12, 2007; 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.