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1831427962 NPI number — SIGNATURE MEDICAL LABORATORY

NPI Number: 1831427962
Health Care Provider/Practitioner: SIGNATURE MEDICAL LABORATORY

Information about “1831427962” NPI (SIGNATURE MEDICAL LABORATORY) exists in 1831427962 in HTML format HTML  |  1831427962 in plain Text format TXT  |  1831427962 in PDF (Portable Document Format) PDF  |  1831427962 in an XML format XML  formats.

NPI Number : 1831427962 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831427962",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SIGNATURE MEDICAL LABORATORY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "201 SIGNATURE PL",
    "SecondLineMailingAddress": "SUITE 104",
    "MailingAddressCityName": "LEBANON",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37087-3376",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-444-7999",
    "MailingAddressFaxNumber": "615-444-7765",
    "FirstLinePracticeLocationAddress": "1097 WESTON DR",
    "SecondLinePracticeLocationAddress": "SUITE 1",
    "PracticeLocationAddressCityName": "MOUNT JULIET",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37122-3493",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-758-4601",
    "PracticeLocationAddressFaxNumber": "615-754-7074",
    "EnumerationDate": "12/01/2009",
    "LastUpdateDate": "03/10/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TIDWELL",
    "AuthorizedOfficialFirstName": "DARRELL",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "615-758-4601",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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