Concentra Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CONCENTRA LABORATORY LLC

Doing business as

Advanced Toxicology Network

Practice address

3560 Air Center CV
Suite 101
Memphis, TN 38118-3626

Phone

(901) 794-5770

Fax

(901) 794-6460

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

James J Mussatto

Title

President and Ceo

Phone

(901) 370-5184

Specialties & licenses 1

Addresses

Other names 1

• Advanced Toxicology Network Doing business as

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1912291774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DRIVE",
            "address_2": "SUITE 1200 WEST TOWER",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 AIR CENTER CV",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183626",
            "telephone_number": "901-794-5770",
            "fax_number": "901-794-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "MUSSATTO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "901-370-5184"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Toxicology Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Davis Conaway
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Concentra Laboratory LLC
• Concierge Professional Phlebotomy Service, LLC
• Janet Condle, PTA
• Gregory Josef Condon, MD
• Crystal Conely
• Kerleska Conerly, LCSW

• Clinical Medical Laboratory in Memphis, TN
• Providers in Memphis, 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 Oct 9, 2012; 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.