Active NPI
Esoterix, Inc
- Clinical Medical Laboratory
- Brentwood, TN
National Provider Identifier
1942287164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ESOTERIX, INC
- Practice address
- 201 Summit View Dr
Suite 100
Brentwood, TN 37027-4645 - Phone
- (512) 225-1109
- NPI assigned
- Dec 29, 2005
- 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
- William B Hayes
- Title
- Evp/Treasurer
- Phone
- (800) 222-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
201 Summit View Dr
Suite 100
Brentwood, TN 37027-4645
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3403950 | Medicaid | TN | |
| 44D0668408 | Other | TN | CLIA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Medical Laboratory
- Cromwell, CT
- NPI 1700517984
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239235200000",
"number": "1942287164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2240",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272162240",
"telephone_number": "800-222-7566",
"fax_number": "336-436-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SUMMIT VIEW DR",
"address_2": "SUITE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274645",
"telephone_number": "512-225-1109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESOTERIX, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-29",
"last_updated": "2009-04-09",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "EVP/TREASURER",
"authorized_official_telephone_number": "800-222-7566"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3403950",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "44D0668408",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.