Whalio Doctors

NPI 1235502204

Tri-State Medical Management

Organisation Health Maintenance Organization Memphis, TN

Practice location

Address
2832 Coleman Rd, Memphis, TN 38128-5815
Phone
(901) 857-1150

Authorised official

Name
Kelly Dianne Cassriel
Title
President
Phone
(901) 857-1150

Registered specialties (2)

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence 210506056 (TN)
Clinical Medical Laboratory
Laboratories Taxonomy 291U00000X Licence 115004107 (TN)

Registry record

NPI
1235502204
Entity type
Organization
NPI issued
12 Nov 2015
Record last updated
12 Nov 2015

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.