Organization Active NPI

Urban Alpha

  • Clinical Medical Laboratory
  • Memphis, TN
National Provider Identifier
1164910758
Registry record updated Apr 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
URBAN ALPHA
Practice address
6286 Quince Rd
Memphis, TN 38119-7629
Phone
(901) 265-8517
Fax
(901) 339-6304
NPI assigned
Apr 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2018

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

Authorized official

Name
Ms. Deborah Donnell Williams, PHLEBOTOMIST
Title
Owner
Phone
(901) 265-8517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6286 Quince Rd
Memphis, TN 38119-7629

Mailing address

6286 Quince Rd
Memphis, TN 38119-7629
Phone (901) 265-8517

Other names 1

  • Urban Alpha Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524960000000",
    "number": "1164910758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6286 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197629",
            "telephone_number": "901-265-8517",
            "fax_number": "901-339-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6286 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197629",
            "telephone_number": "901-265-8517",
            "fax_number": "901-339-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN ALPHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-29",
        "last_updated": "2018-04-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DONNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-265-8517",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Alpha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2018; 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.