Clarice Rena White in Mason - Medical Laboratory
Clarice Rena White - NPI 1891776845
Clarice Rena White is a Medical Laboratory in Mason, Tennessee. Clarice Rena White practices all healthcare services and medical treatments related to Medical Laboratory. The NPI Number for Clarice Rena White is 1891776845. The last update date is 2017-06-14.
Clarice Rena White's current location address is 12173 Main St, Mason, Tennessee. You can contact this provider via phone number 9012942634 and fax number 9012942639. The mailing address for Clarice Rena White is 12173 Main St, Mason, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Clarice Rena White |
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Address | 12173 Main St, Mason, Tennessee |
Phone Number | 9012942634 |
Fax Number | 9012942639 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1891776845 |
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Provider Enumeration Date | 2005-11-08 |
Last Updated Date | 2017-06-14 |
Provider Mailing Address Detail
Address | 12173 Main St |
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City | Mason |
State | Tennessee (TN) |
Post Code | 380497054 |
Phone Number | 9012942634 |
Fax Number | 9012942639 |
Provider's Primary Taxonomy Detail
Speciality | Medical Laboratory |
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Taxonomy | 246Rm2200X |
Licence No | ML0000008122 |
Definition: Performs routine lab tests on blood, tissue, and body fluids under supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3225798 | TN | -- | |
4777 | TN | DORAL DENTAL | |
4098095 | TN | BLUECROSS BLUESHIELD | |
3205221 | TN | -- | |
DS005088 | TN | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clarice Rena White?
The Clarice Rena White has been issued the NPI (National Provider Identifier) 1891776845 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Clarice Rena White's facilities are situated?
The facilities of Clarice Rena White are physically located at the following address: 12173 Main St, Mason, TN, 380497054.
What is the Clarice Rena White's area of specialization and corresponding taxonomy classification?
The Clarice Rena White's specialty field is Medical Laboratory, and it falls under the taxonomy code 246Rm2200X, which categorizes healthcare providers based on their specialties.
On what date did the Clarice Rena White receive its 1891776845 assignment from the Centers for Medicare & Medicaid Services?
The Clarice Rena White was assigned its 1891776845 by the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date were the details related to Clarice Rena White most recently updated or revised?
The information pertaining to Clarice Rena White, including its address, specialty, and other relevant details, was last updated or revised on 2017-06-14.
NPI Number: 1215930425
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