Phase2 Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHASE2 LABS, LLC

Practice address

5225 Harding PL
Nashville, TN 37217-2901

Phone

(629) 777-4902

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Tyler Hayden

Title

Director of Operations

Phone

(423) 838-4444

Specialties & licenses 1

Addresses

Other names 1

• PHASETWO LABS, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Phase2 Labs Mississippi LLC

  • Clinical Medical Laboratory
  • Southaven, MS
  • NPI 1790593614

  Member Of

  NPD member

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1760077606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 HARDING PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172901",
            "telephone_number": "615-367-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 HARDING PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172901",
            "telephone_number": "629-777-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE2 LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "423-838-4444"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHASETWO LABS, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pharmacy Health Solutions LLC
• Pharmacy Health Solutions LLC
• Pharmacy Services of America, LLC
• Tosha Pharr, LCSW
• Steven Wayne Pharris, CMSW
• Grant Pheil, MS, LAT, ATC
• Amy Phelan, R.N.
• Amanda R Phelps, PA
• Brian Patrick Phelps, RN
• Christopher Phelps, D.O.

• 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 Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.