Organization Active NPI

Bluff City Laboratory Services

  • Clinical Medical Laboratory
  • Cordova, TN
National Provider Identifier
1629457338
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BLUFF CITY LABORATORY SERVICES
Practice address
8110 Cordova Rd
Suite 113a
Cordova, TN 38016-0520
Phone
(800) 959-6105
Fax
(901) 871-0981
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Dr. Blazej Zbytek, MD/PHD
Title
Medical Director
Phone
(901) 647-1302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8110 Cordova Rd
Suite 113a
Cordova, TN 38016-0520

Mailing address

8110 Cordova Rd
Suite 113a
Cordova, TN 38016-0520
Phone (800) 959-6105

National Provider Directory

National Provider Directory

Locations

8110 Cordova Rd
Ste 113A
Cordova, TN 38016
Phone (800) 959-6105

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1629457338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 CORDOVA RD",
            "address_2": "SUITE 113A",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160520",
            "telephone_number": "800-959-6105",
            "fax_number": "901-871-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 CORDOVA RD",
            "address_2": "SUITE 113A",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160520",
            "telephone_number": "800-959-6105",
            "fax_number": "901-871-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF CITY LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "ZBYTEK",
        "authorized_official_first_name": "BLAZEJ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "901-647-1302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD/PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.