UPPER CUMBERLAND LABORATORY, LLC (NPI# 1861042897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861042897 |
| Entity Type | Organization |
| Organization Name | UPPER CUMBERLAND LABORATORY, LLC |
| Practice Address |
1059 Neal St Cookeville TN 38501-0946 |
| Practice Telephone | 9314007246 |
| Mailing Telephone | 6157358002 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | KATHRYN DUBRAY (ADMIN) |
| Authorized Official Telephone | 6157358002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
1059 NEAL ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-0946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669437901 | Dennis L. Cosgrove | Optometrist | 1059 Neal St, Cookeville, TN 38501-0906 | 2006-04-19 |
| 1649825829 | Lakita Mae Ramsey | Nurse Practitioner | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-08-05 |
| 1437702834 | Health and Ancillary Services LLC | Family Medicine | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-07-24 |
| 1205488178 | Healthcare Resource Management | Clinic/Center | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-07-11 |
| 1316236367 | Genesis Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 1059 Neal St, Suite B, Cookeville, TN 38501-0946 | 2011-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1811271653 | Nexus Lab 2.0 LLC | Clinical Medical Laboratory | 1711 S Jefferson Ave, Cookeville, TN 38506-5581 | 2011-09-28 |
| 1306186614 | Comprehensive Toxicology PC | Clinical Medical Laboratory | 580 S Jefferson Ave, Suite P, Cookeville, TN 38501-4672 | 2013-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547474 | United Medical Lab LLC | Clinical Medical Laboratory | 3201 Easton Ave, Chattanooga, TN 37415-4715 | 2020-10-28 |
| 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 |
| 1851901375 | Jamie Platt | Clinical Medical Laboratory | 725 Loudon View Ln, Friendsville, TN 37737-2301 | 2020-08-10 |
| 1417567975 | Sharonda Muse | Clinical Medical Laboratory | 106 Rifle Range Rd, Old Hickory, TN 37138 | 2020-08-08 |
| 1366065005 | Neovect Technologies, LLC | Clinical Medical Laboratory | 287 Wilkinson Pl, Memphis, TN 38111-6125 | 2020-05-27 |
| 1588283063 | Peter Dereva | Clinical Medical Laboratory | 2000 Glen Echo Rd Ste 105, Nashville, TN 37215-2857 | 2020-04-14 |
| 1841846136 | State of Franklin Healthcare Associates Pllc | Clinical Medical Laboratory | 215 E Springbrook Dr, Johnson City, TN 37601-1761 | 2019-08-13 |
| 1619522133 | Tennessee Oncology, Pllc | Clinical Medical Laboratory | 4488 Carothers Pkwy, Suite 310, Franklin, TN 37067 | 2019-08-02 |
| 1184282923 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 501 19th St Ste 300, Knoxville, TN 37916-1854 | 2019-06-05 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.