ASC-TN LLC
NPI 1255465910
Clinic/Center - Ambulatory Surgical in Memphis, TN
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 23D1015731
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-11-2027
About ASC-TN LLC
This page provides the complete NPI Profile along with additional information for Asc-tn Llc, a provider established in Memphis, Tennessee operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1255465910 assigned on March 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Douglas Nichols (Ar Director)
- NPI
- 1255465910 Verify this NPI
- Provider Name
- ASC-TN LLC
- Entity Type
- Organization
- Location Address
- 995 S YATES RD STE 1 MEMPHIS, TN 38119
- Location Phone
- (901) 527-7100
- Mailing Address
- 27087 GRATIOT AVE ROSEVILLE, MI 48066
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-15-2007
- Last Update Date
- 06-26-2008
- 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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
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
- 23D1015731
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 12, 2025
- Certificate Expiration Date
- August 11, 2027
- Laboratory Director
- BRUCE S. KOVAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Asc-tn Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255465910, enumerated as an "organization" on March 15, 2007.
The provider is located at 995 S YATES RD STE 1 MEMPHIS, TN 38119 and the phone number is (901) 527-7100.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
