American Esoteric Laboratories

LBN: Memphis Pathology Laboratory
American Esoteric Laboratories is an health care organization with primary practice located at 1701 Century Center Cv , Memphis TN 38134-8975. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Memphis Pathology Laboratory can be contacted via phone (901) 405-8200, or through Dress, Matthew A via phone (901) 542-6838.

Contact Information

Primary practice address
1701 Century Center Cv Memphis TN 38134-8975
Phone: (901) 405-8200
Fax: (901) 328-3882
Website:
Map and Directions
Authorized official contact:
Name: Dress, Matthew A Doctor of Medicine (MD)
Phone: (901) 542-6838

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 0000002069 Tennessee
Laboratories / Clinical Medical Laboratory 291U00000X 0000003251 Tennessee

Profile Details

NPI number 1548370745
LBN Legal business name Memphis Pathology Laboratory
DBA Doing business as American Esoteric Laboratories
Authorized official Dress, Matthew A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 23rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548370745 NPPES
Tennessee MEDICAID 3403482
Tennessee MEDICAID 7100113940
Tennessee Other 3138591
Tennessee MEDICAID 0121666
Tennessee MEDICAID 139749709

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