Organization Active NPI

Uhs-DL LP

Doing business as Dynacare Tennessee

  • Clinical Medical Laboratory
  • Knoxville, TN
National Provider Identifier
1245235381
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UHS-DL LP
Doing business as
Dynacare Tennessee
Practice address
1924 Alcoa Hwy
# U108
Knoxville, TN 37920-1511
Phone
(865) 544-6869
Fax
(865) 544-8273
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Rupeka
Title
Finance Director
Phone
(865) 544-9687

Specialties & licenses 1

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

Addresses

Primary practice location

1924 Alcoa Hwy
# U108
Knoxville, TN 37920-1511

Mailing address

1924 Alcoa Hwy
# U108
Knoxville, TN 37920-1511
Phone (865) 544-6869

Other identifiers 5

IdentifierTypeStateIssuer
3403758MedicaidTN
0000002102OtherTNDOH STATE LICENSE
37000072MedicaidKY
7001197MedicaidNC
L00143MedicaidSC

Other names 1

  • Dynacare Tennessee Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2301889The University of Tennessee Medical Center1924 Alcoa Highway, Heart Hospital, 5TH Floor, Knoxville, TN 37920ComplianceJul 17, 2028

National Provider Directory

National Provider Directory

Locations

1924 Alcoa Hwy
#U108
Knoxville, TN 37920
Phone (865) 305-8994

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245235381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "# U108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-544-6869",
            "fax_number": "865-544-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "# U108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-544-6869",
            "fax_number": "865-544-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS-DL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUPEKA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "865-544-9687"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403758",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH STATE LICENSE",
            "identifier": "0000002102",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37000072",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001197",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L00143",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynacare Tennessee",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.