Organization Active NPI

Luminus Pathology Laboratory PLLC

  • Anatomic Pathology Physician
  • Memphis, TN
National Provider Identifier
1518211804
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
Legal business name
LUMINUS PATHOLOGY LABORATORY PLLC
Practice address
1732 Thomas Rd
Memphis, TN 38134-6313
Phone
(901) 383-2200
Fax
(901) 383-2205
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Andre C Thompson, MD
Title
Owner
Phone
(901) 383-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0101X TN Primary

Addresses

Primary practice location

1732 Thomas Rd
Memphis, TN 38134-6313

Mailing address

1732 Thomas Rd
Memphis, TN 38134-6313
Phone (901) 383-2200

National Provider Directory

National Provider Directory

Locations

1732 Thomas Rd
Memphis, TN 38134
Phone (901) 383-2200

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1518211804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 THOMAS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346313",
            "telephone_number": "901-383-2200",
            "fax_number": "901-383-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 THOMAS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346313",
            "telephone_number": "901-383-2200",
            "fax_number": "901-383-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINUS PATHOLOGY LABORATORY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-383-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "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 Nov 8, 2012; 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.