Healthcare Provider Details

I. General information

NPI: 1851200141
Provider Name (Legal Business Name): IS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 HICKORY TIMBER CT
ANTIOCH TN
37013-5426
US

IV. Provider business mailing address

420 HICKORY TIMBER CT
ANTIOCH TN
37013-5426
US

V. Phone/Fax

Practice location:
  • Phone: 615-596-5371
  • Fax:
Mailing address:
  • Phone: 615-596-5371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: IDELLA WOODARD
Title or Position: CLINICAL DIRECTOR
Credential: PT.CCMA.CBCS.CDM
Phone: 615-596-5371