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MUTIGEN, LLC
NPI 1356514848
Contractor in Tullahoma, TN

Active since April 07, 2008CLIA 44D1083063 · Waiver
711 N ATLANTIC ST, TULLAHOMA, TN 37388(931) 967-2681 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mutigen, Llc NPPES

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

MUTIGEN, LLC (NPI 1356514848) is a healthcare organization registered as a contractor in Tullahoma, Tennessee and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Marcus William Lee, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1356514848
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameMUTIGEN, LLC
Location Address711 N ATLANTIC STTullahoma, TN 37388
Mailing AddressPo Box 1900Tullahoma, TN 37388-1900 · (993) 131-4559 · Fax (931) 563-7659
Phone(931) 967-2681
Organization SubpartNo
Authorized OfficialMarcus William LeeOwner/ceo · (931) 455-2273
Enumeration DateApril 7, 2008
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1356514848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License✔ Licensed in TN · MD35884
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
711 N ATLANTIC ST, Tullahoma, TN 37388
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Other Identifiers 1

Other1457364077TN · Individual Npi

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 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 44D1083063

Mutigen LLC Marcus W Lee MD · Tullahoma, TN
Active · expires Apr 23, 2028
CLIA Number44D1083063
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorMarcus W. Lee
Laboratory Phone(931) 455-2273
Laboratory LocationMutigen LLC Marcus W Lee MD711 North Atlantic Street, Tullahoma, TN 37388
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mutigen, LLC's NPI number?

The NPI number for Mutigen, LLC is 1356514848. It was assigned to this organization in the NPPES registry on April 7, 2008.

Where is Mutigen, LLC located?

Mutigen, LLC is located at 711 N Atlantic St, Tullahoma, TN 37388. The listed phone number is (931) 967-2681.

What is Mutigen, LLC's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

Does Mutigen, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1083063) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mutigen, LLC was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.