Organization Active NPI

BHG Reference Lab, LLC

  • Clinical Medical Laboratory
  • Memphis, TN
National Provider Identifier
1467806646
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BHG REFERENCE LAB, LLC
Practice address
1734 Madison Ave
Memphis, TN 38104-6414
Phone
(214) 365-6100
NPI assigned
Apr 14, 2016
Organization subpart
Yes
Parent organization
VCPHCS, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Jay Higham
Title
Ceo
Phone
(214) 365-6112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X TN Primary

Addresses

Primary practice location

1734 Madison Ave
Memphis, TN 38104-6414

Mailing address

5001 Spring Valley Rd
Suite 600 East
Dallas, TX 75244-3946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160802001690 TN Part B Supplier - Independent Clinical Laboratory 8224322045 Practice locations: Memphis, 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
44D2108980BHG Reference Lab, LLC1734 Madison Avenue, Suite B, Memphis, TN 38104ComplianceNov 13, 2026

National Provider Directory

National Provider Directory
Part of
Vcphcs LP

Locations

1734 Madison Ave
Ste B
Memphis, TN 38104

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1467806646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY RD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046414",
            "telephone_number": "214-365-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG REFERENCE LAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VCPHCS, LP",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 26, 2024; 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.