Provider Demographics
NPI:1265294375
Name:SEEQUENCE LLC
Entity type:Organization
Organization Name:SEEQUENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:NOAH
Authorized Official - Last Name:BRAHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-907-9314
Mailing Address - Street 1:2309 DUNTREATH RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-5601
Mailing Address - Country:US
Mailing Address - Phone:901-907-9314
Mailing Address - Fax:
Practice Address - Street 1:4750 PLEASANT HILL RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-7825
Practice Address - Country:US
Practice Address - Phone:901-907-9314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory