MEDICARE: HARMONYX DIAGNOSTICS, INC.

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
1	291U00000X	Clinical Medical Laboratory	44D2009322	TN

General Provider Information

NPI Number	:	1346550134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONYX DIAGNOSTICS, INC.

Provider Business Mailing Address
First Line	:	8110 CORDOVA RD
Second Line	:	SUITE 119
City	:	CORDOVA
State	:	TN
Zip	:	38016-0520
Country	:	US
Telephone Number	:	901-507-0476
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 CORDOVA RD
Second Line	:	SUITE 119
City	:	CORDOVA
State	:	TN
Zip	:	38016-0520
Country	:	US
Telephone Number	:	901-507-0476
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT J BEAN
Credential	:
Telephone Number	:	901-507-0476

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	10/14/2010

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