Organization Active NPI

Clinical Cytogenetic Services

  • Clinical Genetics (M.D.) Physician
  • Knoxville, TN
National Provider Identifier
1740534023
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
MD0000009071 Issued in TN
Legal business name
CLINICAL CYTOGENETIC SERVICES
Practice address
1928 Alcoa Hwy
Suite B-206
Knoxville, TN 37920-1502
Phone
(865) 305-6505
Fax
(865) 305-6516
NPI assigned
Nov 7, 2012
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Carmen B Lozzio, MD
Title
Sole Proprietor
Phone
(865) 305-6505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X MD0000009071 TN Primary

Addresses

Primary practice location

1928 Alcoa Hwy
Suite B-206
Knoxville, TN 37920-1502

Mailing address

1928 Alcoa Hwy
Suite B-206
Knoxville, TN 37920-1502
Phone (865) 305-6505

Other identifiers 2

IdentifierTypeStateIssuer
1003962002OtherINDIVIDUAL NPI
3181311MedicaidTN

National Provider Directory

National Provider Directory

Locations

1928 Alcoa Hwy
Ste 206
Knoxville, TN 37920
Phone (865) 305-6505

1928 Alcoa Hwy
Ste B206
Knoxville, TN 37920
Phone (865) 305-6505

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1740534023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "SUITE B-206",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-305-6505",
            "fax_number": "865-305-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "SUITE B-206",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-305-6505",
            "fax_number": "865-305-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CYTOGENETIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "LOZZIO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "865-305-6505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "TN",
            "license": "MD0000009071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1003962002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3181311",
            "state": "TN"
        }
    ],
    "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 Nov 7, 2012; 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.