Organization Active NPI

Memphis Clinical Laboratory Inc

  • Clinical Medical Laboratory
  • Memphis, TN
National Provider Identifier
1669518221
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEMPHIS CLINICAL LABORATORY INC
Practice address
4088 Barton Dr
Memphis, TN 38116-5821
Phone
(901) 346-1633
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Authorized official

Name
Mr. Jerry W Murphy
Title
Chairman Ceo
Phone
(573) 727-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4088 Barton Dr
Memphis, TN 38116-5821

Mailing address

4088 Barton Dr
Memphis, TN 38116-5821
Phone (573) 727-5600

Other identifiers 1

IdentifierTypeStateIssuer
0037259OtherTNBLUE CROSS ON TENNESSE

National Provider Directory

National Provider Directory

Locations

4088 Barton Dr
Memphis, TN 38116
Phone (901) 346-1633

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1669518221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 BARTON DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381165821",
            "telephone_number": "573-727-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 BARTON DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381165821",
            "telephone_number": "901-346-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHAIRMAN CEO",
        "authorized_official_telephone_number": "573-727-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ON TENNESSE",
            "identifier": "0037259",
            "state": "TN"
        }
    ],
    "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 Oct 8, 2007; 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.