Organization Active NPI

Lewis Lab Services

  • Clinic/Center
  • Memphis, TN
National Provider Identifier
1417604091
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEWIS LAB SERVICES
Practice address
4144 Wagon Wheel Dr
Memphis, TN 38127-3618
Phone
(901) 949-6228
Fax
(901) 592-4212
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Mr. Jeremy Lewis
Title
Owner
Phone
(901) 949-6228

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

4144 Wagon Wheel Dr
Memphis, TN 38127-3618

Mailing address

4144 Wagon Wheel Dr
Memphis, TN 38127-3618
Phone (901) 949-6228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1417604091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 WAGON WHEEL DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381273618",
            "telephone_number": "901-949-6228",
            "fax_number": "901-592-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 WAGON WHEEL DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381273618",
            "telephone_number": "901-949-6228",
            "fax_number": "901-592-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-949-6228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.