Mosaic Prime in Memphis - Clinical Medical Laboratory
Mosaic Prime - NPI 1548479801
Mosaic Prime is a Clinical Medical Laboratory in Memphis, Tennessee. Mosaic Prime practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Mosaic Prime is 1548479801. The last update date is 2015-11-17.
Mosaic Prime's current location address is 20 Dudley St, Memphis, Tennessee. You can contact this provider via phone number 9018661655 and fax number 8663598798. The mailing address for Mosaic Prime is 20 Dudley St, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mosaic Prime |
|---|---|
| Address | 20 Dudley St, Memphis, Tennessee |
| Phone Number | 9018661655 |
| Fax Number | 8663598798 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF MEDI |
|---|---|
| Authorized Official Name | Dahl Julia |
| Credentials | M.D. |
| Telephone Number | 9015686009 |
NPI Number Detail
| NPI Number | 1548479801 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2015-11-17 |
Provider Mailing Address Detail
| Address | 20 Dudley St |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381034904 |
| Phone Number | 9018661655 |
| Fax Number | 8663598798 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 44D1053242 |
|
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44D1053242 | TN | CLIA CERTIFICATION LAB |
Post Comment/ Review Below
What is the Mosaic Prime's 1548479801?
The Mosaic Prime's NPI (National Provider Identifier) Number is 1548479801. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mosaic Prime is physically located?
The Mosaic Prime is situated at the following address: 20 Dudley St, Memphis, TN 381034904.
What is Mosaic Prime's area of expertise and its corresponding taxonomy classification?
The Mosaic Prime's field of specialization is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their areas of practice.
When did the Mosaic Prime receive its 1548479801?
The Mosaic Prime was issued its 1548479801 on 2007-05-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mosaic Prime, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mosaic Prime, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-11-17.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC