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NPI Code Detail

MEDICARE: DCI LABORATORY LLC

MEDICARE: DCI LABORATORY LLC
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 Laboratory1953TN

General Provider Information

NPI Number : 1528422086
Entity Type Code : Organization
Provider Name (Legal Business Name) : DCI LABORATORY LLC
Provider Business Mailing Address
First Line : 1633 CHURCH ST
Second Line : STE 500
City : NASHVILLE
State : TN
Zip : 37203-2990
Country : US
Telephone Number : 615-327-3061
Fax Number :
Provider Business Practice Location Address
First Line : 2917 FOSTER CREIGHTON DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3705
Country : US
Telephone Number : 615-255-5227
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. DONOVAN SCHULTZ
Credential :
Telephone Number : 615-327-3061
Provider Enumeration Date : 04/11/2016
Last Update Date : 10/05/2023

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Directions to “DCI LABORATORY LLC ” Practice Location

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