Provider Demographics
NPI:1851539530
Name:TENNESSEE REPRODUCTIVE LABORATORIES
Entity Type:Organization
Organization Name:TENNESSEE REPRODUCTIVE LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCOTCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-876-2229
Mailing Address - Street 1:6031 SHALLOWFORD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1983
Mailing Address - Country:US
Mailing Address - Phone:423-876-2229
Mailing Address - Fax:423-643-0699
Practice Address - Street 1:6031 SHALLOWFORD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1983
Practice Address - Country:US
Practice Address - Phone:423-876-2229
Practice Address - Fax:423-643-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory