Organization Active NPI

Biocellutions, Inc

  • Clinical Medical Laboratory
  • Memphis, TN
National Provider Identifier
1225023005
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0000002008 Issued in TN
Legal business name
BIOCELLUTIONS, INC
Practice address
1775 Moriah Woods Blvd
Suite 8
Memphis, TN 38117-7125
Phone
(901) 273-0880
Fax
(901) 273-0884
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Dr. Bonni J Hazelton, PHD
Title
Director Laboratory Services
Phone
(901) 273-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0000002008 TN Primary

Addresses

Primary practice location

1775 Moriah Woods Blvd
Suite 8
Memphis, TN 38117-7125

Mailing address

1775 Moriah Woods Blvd
Suite 8
Memphis, TN 38117-7125
Phone (901) 273-0880

Other identifiers 5

IdentifierTypeStateIssuer
3403201OtherCOLL OF AMER PATH
0000002008OtherTNTN DEPT OF HEALTH
0126553MedicaidMS
1053225OtherFDA
3404106MedicaidTN

Other names 1

  • Transfusion Management Services, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

1775 Moriah Woods Blvd
Ste 8
Memphis, TN 38117
Phone (901) 273-0880

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1225023005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 MORIAH WOODS BLVD",
            "address_2": "SUITE 8",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177125",
            "telephone_number": "901-273-0880",
            "fax_number": "901-273-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 MORIAH WOODS BLVD",
            "address_2": "SUITE 8",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177125",
            "telephone_number": "901-273-0880",
            "fax_number": "901-273-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOCELLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "HAZELTON",
        "authorized_official_first_name": "BONNI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR LABORATORY SERVICES",
        "authorized_official_telephone_number": "901-273-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000002008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLL OF AMER PATH",
            "identifier": "3403201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN DEPT OF HEALTH",
            "identifier": "0000002008",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126553",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA",
            "identifier": "1053225",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404106",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transfusion Management Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 8, 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.