Stat Diagnostics, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STAT DIAGNOSTICS, INC.

Doing business as

NewGen Advanced Orthotics lab

Practice address

7730 Trinity Rd
Suite 104a
Cordova, TN 38018-2723

Phone

(901) 757-0878

Fax

(901) 751-6574

NPI assigned

May 23, 2006

Last updated

Dec 23, 2011By 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

Mrs. Joann Cohen

Title

President

Phone

(901) 756-0257

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NewGen Advanced Orthotics lab Doing business as

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1841245305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 DALKEITH DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393408",
            "telephone_number": "901-756-0256",
            "fax_number": "901-624-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 TRINITY RD",
            "address_2": "SUITE 104A",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182723",
            "telephone_number": "901-757-0878",
            "fax_number": "901-751-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-756-0257",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454622",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158385716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NewGen Advanced Orthotics lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Cordova, TN
• Providers in Cordova, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.