Upper Cumberland Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UPPER CUMBERLAND LABORATORY, LLC

Practice address

1059 Neal St
Cookeville, TN 38501-0946

Phone

(931) 400-7246

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Kathryn Dubray

Title

Admin

Phone

(615) 735-8002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1861042897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 NEAL ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010946",
            "telephone_number": "615-735-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 NEAL ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010946",
            "telephone_number": "931-400-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CUMBERLAND LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "DUBRAY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "615-735-8002"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Cumberland Community Services Agency
• Upper Cumberland Family Physicians, PLLC
• Upper Cumberland Human Resource Agency
• Upper Cumberland Human Resource Agency
• Upper Cumberland Human Resource Agency in-Home Services
• Upper Cumberland Medical Associates, PLLC
• Upper Cumberland Mobile Imaging, LLC
• Upper Cumberland Oncology
• Upper Cumberland Oncology
• Upper Cumberland Orthopedic Surgery, PC

• Clinical Medical Laboratory in Cookeville, TN
• Providers in Cookeville, 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 Sep 11, 2019; 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.