NPI 1023229713

Medical Genetics Lab

Organisation Clinical Medical Laboratory Mountain Home, TN

Practice location

Address: Building 178, Maple Ave., Mountain Home, TN 37684
Phone: (423) 439-7320
Fax: (423) 439-7343
Mailing address: PO Box 699, Mountain Home, TN 37684-0699

Authorised official

Name: Russell E Lewis
Title: Executive Director
Phone: (423) 433-6050

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 2298 (TN)

Other Clinical Medical Laboratory providers in Tennessee →

Registry record

NPI: 1023229713
Entity type: Organization
NPI issued: 24 May 2007
Record last updated: 15 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.