Ig Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

44D2041004 Issued in TN

Legal business name

IG LABORATORY INC

Practice address

2 International PLZ
Suite 510
Nashville, TN 37217-2017

Phone

(615) 255-8880

Fax

(615) 255-1330

NPI assigned

Oct 5, 2012

Organization subpart

Yes

Parent organization

INSIGHT GENETICS, INCAs reported in NPPES

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

Authorized official

Name

Mr. Eric Dahlhauser

Title

Ceo

Phone

(615) 255-8880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1922350545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INTERNATIONAL PLZ",
            "address_2": "SUITE 510",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172017",
            "telephone_number": "615-255-8880",
            "fax_number": "615-255-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INTERNATIONAL PLZ",
            "address_2": "SUITE 510",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172017",
            "telephone_number": "615-255-8880",
            "fax_number": "615-255-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IG LABORATORY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSIGHT GENETICS, INC",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "DAHLHAUSER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-255-8880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "44D2041004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Idehen
• Adaobi Jennifer Ideli, CRNP
• Simon Igho Idiare
• Rachel Idowu, MD
• Kamran Idrees, MD
• Jojackson Igietseme, M.S.
• Edward Gerard Abano Iglesia, M.D.
• Sierra Ignatavich
• Osakhuemen William Ihenyen, MD
• Jodi Paige Backalar Ihm, DO

• Clinical Medical Laboratory in Nashville, TN
• Providers in Nashville, 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 5, 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.