Organization Active NPI

Paula Mechelle Martin Inc.

  • Clinical Medical Laboratory
  • Cordova, TN
National Provider Identifier
1922751973
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Paula M. Martin, FNPNPI 1013637859
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.