Mid-South Transplant Foundation, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0000002214 Issued in TN

Legal business name

MID-SOUTH TRANSPLANT FOUNDATION, INC.

Practice address

8001 Centerview Pkwy Ste 302
Cordova, TN 38018-4228

Phone

(901) 328-4438

Fax

(901) 328-4462

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Van Frank

Title

Interim Executive Director

Phone

(901) 328-4438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1386844504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 CENTERVIEW PKWY STE 302",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184228",
            "telephone_number": "901-328-4438",
            "fax_number": "901-328-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 CENTERVIEW PKWY STE 302",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184228",
            "telephone_number": "901-328-4438",
            "fax_number": "901-328-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH TRANSPLANT FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "VAN FRANK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-328-4438",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000002214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mid-South Neurological Clinic Inc
• Mid-South Urgent Care, PLLC
• Demetras Chunta' Middleton, OTR/L
• Trina Marie Middleton, LCSW
• Midsouth Medication Management PLLC
• Miix Mii Hair Co

• Clinical Medical Laboratory in Cordova, TN
• Providers in Cordova, 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 Oct 6, 2008; 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.