State of Tennessee

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0000002285 Issued in TN

Legal business name

STATE OF TENNESSEE

Practice address

630 Hart Lane
Nashville, TN 37243-0001

Phone

(615) 262-6300

Fax

(615) 262-6393

NPI assigned

Oct 9, 2007

Last updated

Sep 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberli Fitzpatrick

Title

Billing and Operations Manager

Phone

(423) 307-2330

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tennessee Department of Health, Laboratory Services Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Lamar Smalley, PH.D.

  • Specialist
  • Nashville, TN
  • NPI 1841423373
  NPD (past)
• Richard Steece, PH.D.

  • Specialist
  • Nashville, TN
  • NPI 1477955821
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1689862286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HART LANE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37243",
            "telephone_number": "615-262-6300",
            "fax_number": "615-262-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HART LANE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372430001",
            "telephone_number": "615-262-6300",
            "fax_number": "615-262-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "KIMBERLI",
        "authorized_official_title_or_position": "BILLING AND OPERATIONS MANAGER",
        "authorized_official_telephone_number": "423-307-2330"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000002285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN STATE LICENSURE",
            "identifier": "0000002285",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS - CLIA",
            "identifier": "44D0659062",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Department of Health, Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennessee Department of Health, Laboratory Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tennessee Department of Health, Laboratory Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas Stasko, MD
• Stat Wellness Nashville (STAT Wellness)
• State of Tennessee (Tennessee Department of Intellectual and Developmental Disabilities)
• State of Tennessee (Tennessee Department of Intellectual and Developmental Disabilities)
• State of Tennessee
• State of Tennessee (MCRO Mobile Dental Unit)
• State of Tennessee (Mid-Cumberland Regional Office)
• State of Tennessee (Nashville Childrens Special Services)
• State of Tennessee Hcfa (TennCare)
• State of Tennessee State F & a Payroll (Mid-Cumberland/South Central Regional Pharmacy)

• Clinical Medical Laboratory in Nashville, TN
• Providers in Nashville, 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 Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.