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NPI Code Detail

MEDICARE: LAB ONE TESTING SERVICES

MEDICARE: LAB ONE TESTING SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory110002821TN

General Provider Information

NPI Number : 1124331459
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAB ONE TESTING SERVICES
Provider Business Mailing Address
First Line : PO BOX 70068
Second Line :
City : MEMPHIS
State : TN
Zip : 38107-0068
Country : US
Telephone Number : 901-214-8181
Fax Number :
Provider Business Practice Location Address
First Line : 3540 SUMMER AVE
Second Line : SUITE 202
City : MEMPHIS
State : TN
Zip : 38122-3600
Country : US
Telephone Number : 901-214-8181
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. DONNA LISA SPEED
Credential :
Telephone Number : 901-214-8181
Provider Enumeration Date : 07/15/2010
Last Update Date : 07/15/2010

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Directions to “LAB ONE TESTING SERVICES ” Practice Location

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