NAUTIC SALES & SERVICE LLC C&A FAB (NPI# 1578040630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578040630 |
| Entity Type | Organization |
| Organization Name | NAUTIC SALES & SERVICE LLC C&A FAB |
| Other Organization Name | NAUTIC MEDICAL LABORATORY |
| Practice Address |
6700 Baum Dr Ste 18 Knoxville TN 37919-7334 |
| Practice Telephone | 8659647061 |
| Mailing Telephone | 8659647061 |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | JERRY PROFITT (OWNER) |
| Authorized Official Telephone | 8659647061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 291U00000X | Clinical Medical Laboratory | TN | Laboratories |
| Other Name | Type Code |
|---|---|
| Nautic Medical Laboratory | Doing Business As Name - Organization |
| Street Address |
6700 BAUM DR STE 18 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-7334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1700492642 | Tox Crew Inc | Clinical Medical Laboratory | 9111 Cross Park Dr Ste E138, Knoxville, TN 37923-4537 | 2020-09-16 |
| 1184282923 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 501 19th St Ste 300, Knoxville, TN 37916-1854 | 2019-06-05 |
| 1376944793 | Integrity Laboratories, LLC | Clinical Medical Laboratory | 830 Corridor Park Blvd Ste 400, Knoxville, TN 37932-3753 | 2014-09-05 |
| 1265729248 | Knoxville Lab Testing Center, LLC | Clinical Medical Laboratory | 11075 Parkside Dr, Knoxville, TN 37934-1953 | 2011-06-29 |
| 1427184860 | Laboratory Corporation of America | Clinical Medical Laboratory | 5103 Kingston Pike, Suite 200, Knoxville, TN 37919-5181 | 2007-02-27 |
| 1063417897 | Dialysis Clinic Inc | Clinical Medical Laboratory | 1024 Alcoa Highway, Knoxville, TN 37920 | 2005-06-17 |
| 1356700397 | Envirolab PC | Clinical Medical Laboratory | 1336 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2016-02-18 |
| 1376966465 | Integrated Lab Solutions, LLC | Clinical Medical Laboratory | 9051 Executive Park Dr, Knoxville, TN 37923-4606 | 2014-01-27 |
| 1477982528 | Lensgraf Clinic, PC | Clinical Medical Laboratory | 1336 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2013-11-08 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.