Provider Demographics
NPI:1689375982
Name:ENVOLVE DIAGNOSTICS INC
Entity Type:Organization
Organization Name:ENVOLVE DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STRIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-635-9916
Mailing Address - Street 1:751 COOL SPRINGS BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2725
Mailing Address - Country:US
Mailing Address - Phone:423-813-9026
Mailing Address - Fax:
Practice Address - Street 1:6230 OLD DOBBIN LN STE 120
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5978
Practice Address - Country:US
Practice Address - Phone:423-813-9026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory