Whalio Doctors

NPI 1609016336

Anthony K. Mikasobe, BSMTAMTASCP

Practitioner Clinical Medical Laboratory Brentwood, TN

Practice location

Address
9409 Whittingham Dr, Brentwood, TN 37027-8460
Phone
(615) 472-8312
Fax
(615) 472-8312
Mailing address
PO Box 22043, Nashville, TN 37202-2043

Registered specialties (2)

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X Licence 22459 (TN)
Clinical Medical Laboratory
Laboratories Taxonomy 291U00000X Licence 3653 (PR)

Registry record

NPI
1609016336
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Feb 2009
Record last updated
20 Feb 2009

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.