Active NPI
Paula Mechelle Martin Inc.
- Clinical Medical Laboratory
- Cordova, TN
National Provider Identifier
1922751973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PAULA MECHELLE MARTIN INC.
- Practice address
- 1590 Bonnie LN Ste 101
Cordova, TN 38016-0507 - Phone
- (901) 336-7792
- NPI assigned
- Jan 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula M. Martin, FNP
- Title
- Medical Director
- Phone
- (901) 210-6333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1590 Bonnie LN Ste 101
Cordova, TN 38016-0507
Mailing address
8728 Carrollwood CV N
Cordova, TN 38016-4621
Phone (901) 210-6333
Other names 1
- Quick Labs 2 Go
National Provider Directory
National Provider DirectoryLocations
1590 Bonnie Ln
Ste 101
Cordova, TN 38016
Phone (901) 257-9060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Cordova, TN
- NPI 1013637859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1922751973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8728 CARROLLWOOD CV N",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380164621",
"telephone_number": "901-210-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 BONNIE LN STE 101",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160507",
"telephone_number": "901-336-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAULA MECHELLE MARTIN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "901-210-6333",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quick Labs 2 Go",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.