1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. General Practice
  6. NPI Profile

CLINIC LLC
NPI 1033604574
General Practice in Memphis, TN

Active since June 27, 2018CLIA 44D2314658 · Waiver
3393 KIRBY RD, MEMPHIS, TN 38115(901) 542-0864 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2019, Jun 27, 2018 (2 updates tracked since 2018).

About Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINIC LLC (NPI 1033604574) is a healthcare organization registered as a general practice in Memphis, Tennessee and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists David Conner, Owner, as its authorized official.

NPPES Registry Identity

NPI1033604574
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLINIC LLC
Location Address3393 KIRBY RDMemphis, TN 38115-4253
Mailing Address1011 W Poplar Ave Ste 5Collierville, TN 38017-2577 · (901) 607-9064
Phone(901) 542-0864
Organization SubpartNo
Authorized OfficialDavid ConnerOwner · (901) 270-9145
Enumeration DateJune 27, 2018
Last NPPES UpdateApril 25, 20192 updates tracked since enumeration
✔ NPI 1033604574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3393 KIRBY RD, Memphis, TN 38115
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2314658

Clinica Familiar Hispana · Memphis, TN
Active · expires Nov 24, 2026
CLIA Number44D2314658
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorHeriberto Figueroa Lopez
Laboratory Phone(901) 475-8470
Laboratory LocationClinica Familiar Hispana6472 Winchester Rd, Memphis, TN 38115
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE CONNER T MEDICAL GROUP PLLC
Clinic/Center
3393 KIRBY RD
MEMPHIS, TN 38115
Shelby County (901) 607-9064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinic LLC's NPI number?

The NPI number for Clinic LLC is 1033604574. It was assigned to this organization in the NPPES registry on June 27, 2018.

Where is Clinic LLC located?

Clinic LLC is located at 3393 Kirby Rd, Memphis, TN 38115. The listed phone number is (901) 542-0864.

What is Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2314658) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinic LLC was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.