Invicta Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INVICTA LABORATORIES LLC

Doing business as

Nautic Medical Laboratories

Practice address

312 Nancy Lynn LN Ste 2
Knoxville, TN 37919-6046

Phone

(865) 776-6258

Fax

(865) 312-9662

NPI assigned

Jul 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Loganathan Doraisamy

Title

Owner

Phone

(858) 472-5590

Specialties & licenses 2

Addresses

Other names 1

• Nautic Medical Laboratories Doing business as

Locations

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1578040630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NANCY LYNN LN STE 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196046",
            "telephone_number": "865-985-0945",
            "fax_number": "865-312-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 NANCY LYNN LN STE 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196046",
            "telephone_number": "865-776-6258",
            "fax_number": "865-312-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTA LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-22",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "DORAISAMY",
        "authorized_official_first_name": "LOGANATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-472-5590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nautic Medical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Knoxville, TN
• Providers in Knoxville, 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 Dec 19, 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.