CONRAD PEARSON CLINIC
NPI 1174864946
Clinic/Center - Medical Specialty in Germantown, TN
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 44D0929197
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-27-2026
About CONRAD PEARSON CLINIC
This page provides the complete NPI Profile along with additional information for Conrad Pearson Clinic, a provider established in Germantown, Tennessee operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1174864946 assigned on March 2013. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Linda Wilson (Credentialing Specialist)
- NPI
- 1174864946 Verify this NPI
- Provider Name
- CONRAD PEARSON CLINIC
- Entity Type
- Organization
- Location Address
- 1325 WOLF PARK DR STE 102 GERMANTOWN, TN 38138
- Location Phone
- (901) 252-4311
- Location Fax
- (901) 763-4305
- Mailing Address
- 1325 WOLF PARK DR STE 103 GERMANTOWN, TN 38138
- Mailing Phone
- (901) 252-3411
- Mailing Fax
- (901) 763-4305
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2013
- Last Update Date
- 03-04-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0929197
- Facility Type
- Physician Office
- Certificate Effective Date
- July 28, 2024
- Certificate Expiration Date
- July 27, 2026
- Laboratory Director
- DR. ADAM F. STEWART
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Conrad Pearson Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174864946, enumerated as an "organization" on March 04, 2013.
The provider is located at 1325 WOLF PARK DR STE 102 GERMANTOWN, TN 38138 and the phone number is (901) 252-4311.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
