Active NPI
Infectious DX Solutions PC
- Infectious Disease Physician
- Bartlett, TN
National Provider Identifier
1679063135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- INFECTIOUS DX SOLUTIONS PC
- Practice address
- 3025 Kate Bond Rd
Bartlett, TN 38133-4004 - Phone
- (901) 410-2159
- NPI assigned
- May 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Agbaosi, MD
- Title
- President
- Phone
- (901) 410-2159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | TN | Primary |
Addresses
Primary practice location
3025 Kate Bond Rd
Bartlett, TN 38133-4004
Mailing address
PO Box 18361
Memphis, TN 38181-0361
Phone (901) 410-2159
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525910400000",
"number": "1679063135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18361",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381810361",
"telephone_number": "901-410-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 KATE BOND RD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334004",
"telephone_number": "901-410-2159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DX SOLUTIONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A",
"authorized_official_last_name": "AGBAOSI",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-410-2159",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.