Mosaic Prime

LBN: Mosaic Prime
Mosaic Prime is an health care organization with primary practice located at 20 Dudley St Suite 250, Memphis TN 38103-4904. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Mosaic Prime can be contacted via phone (901) 866-1655, or through Dahl, Julia via phone (901) 568-6009.

Contact Information

Primary practice address
20 Dudley St Suite 250 Memphis TN 38103-4904
Phone: (901) 866-1655
Fax: (866) 359-8798
Website:
Map and Directions
Authorized official contact:
Name: Dahl, Julia Doctor of Medicine (MD)
Phone: (901) 568-6009

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 44D1053242 Tennessee

Profile Details

NPI number 1548479801
LBN Legal business name Mosaic Prime
DBA Doing business as
Authorized official Dahl, Julia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Nov 17th, 2015 - about 10 years ago

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 1548479801 NPPES
Tennessee Other 44D1053242 CLIA CERTIFICATION LAB

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