Tennessee Fertility Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TENNESSEE FERTILITY LABORATORY, LLC

Practice address

5000 Meridian Blvd Ste 250
Franklin, TN 37067-6681

Phone

(615) 721-6250

Fax

(615) 721-6251

NPI assigned

Oct 26, 2015

Organization subpart

Yes

Parent organization

TENNESSEE FERTILITY INSTITUTEAs reported in NPPES

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

Authorized official

Name

Mark Kehoe

Title

Chief Operating Officer

Phone

(713) 300-1123

Specialties & licenses 1

Addresses

Part of

Tennessee Fertility Laboratory LLC

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1285006643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MERIDIAN BLVD STE 250",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676681",
            "telephone_number": "615-550-4922",
            "fax_number": "615-550-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MERIDIAN BLVD STE 250",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676681",
            "telephone_number": "615-721-6250",
            "fax_number": "615-721-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE FERTILITY LABORATORY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE FERTILITY INSTITUTE",
        "enumeration_date": "2015-10-26",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "KEHOE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "713-300-1123"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Franklin, TN
• Providers in Franklin, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.