Organization Active NPI

Tox Crew Inc

  • Clinical Medical Laboratory
  • Knoxville, TN
National Provider Identifier
1700492642
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20201111002270 TN Part B Supplier - Independent Clinical Laboratory 9638589161 Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.