Healthcare Provider Details

I. General information

NPI: 1972288975
Provider Name (Legal Business Name): ZOOM TESTING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 PEABODY ST
NASHVILLE TN
37210-2125
US

IV. Provider business mailing address

100 POWELL PL # 1052
NASHVILLE TN
37204-3622
US

V. Phone/Fax

Practice location:
  • Phone: 615-504-9058
  • Fax:
Mailing address:
  • Phone: 615-485-7690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLEY R SMITH
Title or Position: CLINIC MANAGER
Credential: CCMA
Phone: 615-485-7690