NPI 1093202137
Mdconnect Healthcare Corporation
Practice location
- Address
- 1612 Downtown West Blvd, Knoxville, TN 37919-5408
- Phone
- (800) 926-3047
- Fax
- (941) 296-8588
- Mailing address
- 11161 E State Road 70 Unit 110, Lakewood Ranch, FL 34202-9407
Authorised official
- Name
- Bradley Scott Grevious
- Title
- Chief Executive Officer
- Phone
- (941) 914-8286
Registered specialties (2)
Clinical Medical Laboratory
Primary
Clinical Laboratory Director (Non-physician)
Registry record
- NPI
- 1093202137
- Entity type
- Organization
- NPI issued
- 14 Apr 2018
- Record last updated
- 16 Jun 2018
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.