Healthcare Provider Details

I. General information

NPI: 1083157572
Provider Name (Legal Business Name): TNONC HMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2016
Last Update Date: 05/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4488 CAROTHERS PARKWAY SUITE 320
FRANKLIN TN
37067
US

IV. Provider business mailing address

PO BOX 440521
NASHVILLE TN
37244-0521
US

V. Phone/Fax

Practice location:
  • Phone: 615-986-4330
  • Fax: 615-550-4320
Mailing address:
  • Phone:
  • 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: PATTIE DOUGLAS
Title or Position: PAYER RELATIONS MANAGER
Credential:
Phone: 615-514-6876