Jamie Platt, PHD
Individual provider Active NPI Clinical Medical Laboratory · Friendsville, TN
NPI 1851901375 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1851901375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Practice address
- 725 Loudon View LN
Friendsville, TN 37737-2301 - Phone
- (949) 244-2591
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgenomics, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Clinical Medical Laboratory | 291U00000X | CA | Yes |
Addresses
Primary practice location
725 Loudon View LN
Friendsville, TN 37737-2301
Mailing address
725 Loudon View LN
Friendsville, TN 37737-2301
Phone (949) 244-2591
Other providers in Friendsville, TN
All providers in Friendsville, TN · Clinical Medical Laboratory in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.