Organization Active NPI

Tennessee Valley Regional Laboratory

Doing business as Crescent Labs

  • Clinical Medical Laboratory
  • Knoxville, TN
National Provider Identifier
1164850293
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
00 Issued in TN
Legal business name
TENNESSEE VALLEY REGIONAL LABORATORY
Doing business as
Crescent Labs
Practice address
930 Adell Ree Park LN
Knoxville, TN 37909-2543
Phone
(865) 357-2127
Fax
(865) 769-2616
NPI assigned
Oct 29, 2013
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Lucy L Spurgeon, PART OWNER
Title
Part Owner
Phone
(865) 384-8857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 00 TN Primary

Addresses

Primary practice location

930 Adell Ree Park LN
Knoxville, TN 37909-2543

Mailing address

930 Adell Ree Park LN
Knoxville, TN 37909-2543
Phone (865) 357-2127

Other names 1

  • Crescent Labs Doing business as

National Provider Directory

National Provider Directory

Locations

930 Adell Ree Park Ln
Ste B
Knoxville, TN 37909
Phone (865) 357-2127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1164850293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 ADELL REE PARK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092543",
            "telephone_number": "865-357-2127",
            "fax_number": "865-769-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ADELL REE PARK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092543",
            "telephone_number": "865-357-2127",
            "fax_number": "865-769-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY REGIONAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "SPURGEON",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "865-384-8857",
        "authorized_official_credential": "PART OWNER"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.