MEDICARE: RESULTS LABORATORIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory		WY

General Provider Information

NPI Number	:	1760857023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESULTS LABORATORIES LLC

Provider Business Mailing Address
First Line	:	624 GRASSMERE PARK STE 1
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-3674
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 GRASSMERE PARK STE 1
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-3674
Country	:	US
Telephone Number	:	615-210-4146
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL WOOD
Credential	:
Telephone Number	:	615-210-4146

Provider Enumeration Date	:	12/11/2015
Last Update Date	:	12/11/2015

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