Active NPI
Tox Crew Inc
- Clinical Medical Laboratory
- Knoxville, TN
National Provider Identifier
1700492642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- TOX CREW INC
- Practice address
- 9111 Cross Park Dr Ste E138
Knoxville, TN 37923-4537 - Phone
- (865) 406-8979
- Fax
- (865) 474-1037
- NPI assigned
- Sep 16, 2020
- Last updated
- Sep 22, 2020
- 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
- Mr. Daniel Arthur Higley
- Title
- Owner
- Phone
- (865) 406-8979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
9111 Cross Park Dr Ste E138
Knoxville, TN 37923-4537
Mailing address
9111 Cross Park Dr Ste E138
Knoxville, TN 37923-4537
Phone (865) 888-7813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201111002270 | TN | Part B Supplier - Independent Clinical Laboratory | 9638589161 | Practice locations: Knoxville, TN |
National Provider Directory
National Provider DirectoryLocations
9111 Cross Park Dr
Ste E138
Knoxville, TN 37923
Phone (865) 406-8979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600732800000",
"number": "1700492642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 CROSS PARK DR STE E138",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234537",
"telephone_number": "865-888-7813",
"fax_number": "865-474-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 CROSS PARK DR STE E138",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234537",
"telephone_number": "865-406-8979",
"fax_number": "865-474-1037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOX CREW INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-16",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A",
"authorized_official_last_name": "HIGLEY",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "865-406-8979",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.