Knoxville Lab Testing Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KNOXVILLE LAB TESTING CENTER, LLC

Practice address

11075 Parkside Dr
Knoxville, TN 37934-1953

Phone

(865) 288-4090

Fax

(865) 288-4118

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Mike Mixon

Title

Owner

Phone

(865) 288-4090

Specialties & licenses 1

Addresses

Other names 1

• Any Lab Test Now Doing business as

Locations

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1265729248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11075 PARKSIDE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 PARKSIDE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341953",
            "telephone_number": "865-288-4090",
            "fax_number": "865-288-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE LAB TESTING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-288-4090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Any Lab Test Now",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Knoxville, TN
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.