Healthcare Provider Details

I. General information

NPI: 1205770872
Provider Name (Legal Business Name): ONPOINT LAB TESTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1298 N HIGHLAND AVE STE 12
JACKSON TN
38301-4095
US

IV. Provider business mailing address

57 OLIVEWOOD CV
HUMBOLDT TN
38343-3575
US

V. Phone/Fax

Practice location:
  • Phone: 731-431-2605
  • Fax:
Mailing address:
  • Phone: 731-616-4796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DENITA WOODS TRAYLOR
Title or Position: OWNER
Credential:
Phone: 731-431-2605