Kirk L. Pyle

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

291U00000X Issued in TN

Legal business name

KIRK L. PYLE

Practice address

118 Public Square East
Waynesboro, TN 38485-1202

Phone

(931) 722-5575

Fax

(931) 722-5548

NPI assigned

Jun 16, 2006

Last updated

Jul 2, 2009By 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

Kirk L Pyle

Title

Owner

Phone

(931) 722-5575

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1881638906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1202",
            "address_2": "118 PUBLIC SQUARE EAST",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851202",
            "telephone_number": "931-722-5575",
            "fax_number": "931-722-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PUBLIC SQUARE EAST",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851202",
            "telephone_number": "931-722-5575",
            "fax_number": "931-722-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK L. PYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "PYLE",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-722-5575"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "TN",
            "license": "291U00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4072906",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3791125",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Waynesboro, TN
• Providers in Waynesboro, TN by specialty
• Physiological Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.