Organization Active NPI

Integrity Laboratories, LLC

  • Clinical Medical Laboratory
  • Knoxville, TN
National Provider Identifier
1376944793
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INTEGRITY LABORATORIES, LLC
Practice address
830 Corridor Park Blvd Ste 400
Knoxville, TN 37932-3753
Phone
(865) 288-4435
Fax
(865) 288-4429
NPI assigned
Sep 5, 2014
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Christian Clevenger
Title
Owner
Phone
(844) 658-5745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

830 Corridor Park Blvd Ste 400
Knoxville, TN 37932-3753

Mailing address

830 Corridor Park Blvd Ste 400
Knoxville, TN 37932-3753
Phone (865) 288-4435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215000387 TN Part B Supplier - Independent Clinical Laboratory 9537481981 Practice locations: Knoxville, TN

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
44D2082509Integrity Laboratories, LLC830 Corridor Park Blvd Suite 400, Knoxville, TN 37932AccreditationAug 1, 2026

National Provider Directory

National Provider Directory

Locations

120 Center Park Dr
Ste 3
Knoxville, TN 37922
Phone (844) 658-5745

830 Corridor Park Blvd
Knoxville, TN 37932

830 Corridor Park Blvd
Ste 400
Knoxville, TN 37932
Phone (844) 658-5745

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1376944793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CORRIDOR PARK BLVD STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323753",
            "telephone_number": "865-288-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CORRIDOR PARK BLVD STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323753",
            "telephone_number": "865-288-4435",
            "fax_number": "865-288-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-658-5745"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.