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LEBANON RADIATION ONCOLOGY CENTER, LLC
NPI 1750080305
Clinic/Center - Radiology in Lebanon, TN

Active since March 02, 2023CLIA 44D2311912 · Waiver
101 PHYSICIANS WAY STE 111, LEBANON, TN 37090(615) 329-0570 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2025, Sep 12, 2024, Mar 2, 2023 (3 updates tracked since 2023).

About Lebanon Radiation Oncology Center, Llc NPPES

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

LEBANON RADIATION ONCOLOGY CENTER, LLC (NPI 1750080305) is a healthcare organization registered as a radiology in Lebanon, Tennessee and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Pattie Douglas, Payer Relations Manager, as its authorized official.

NPPES Registry Identity

NPI1750080305
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameLEBANON RADIATION ONCOLOGY CENTER, LLC
Location Address101 PHYSICIANS WAY STE 111Lebanon, TN 37090-8131
Mailing AddressPo Box 440202Nashville, TN 37244-0202 · (615) 329-0570 · Fax (615) 329-0579
Phone(615) 329-0570
Organization SubpartYesParent: Tennessee Oncology Pllc
Authorized OfficialPattie DouglasPayer Relations Manager · (615) 329-0570
Enumeration DateMarch 2, 2023
Last NPPES UpdateMay 8, 20253 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1750080305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
101 PHYSICIANS WAY STE 111, Lebanon, TN 37090
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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 44D2311912

Lebanon Radiation Oncology Center, LLC · Lebanon, TN
Active · expires Sep 30, 2026
CLIA Number44D2311912
Laboratory TypeRadiation Oncology Center
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Zachary S. Mayo
Laboratory Phone(615) 234-8700
Laboratory LocationLebanon Radiation Oncology Center, LLC101 Physicians Way Suite 111, Lebanon, TN 37090
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ZACHARY SCOTT MAYO MD
Radiology (Radiation Oncology)
101 PHYSICIANS WAY STE 111
LEBANON, TN 37090
Wilson County (615) 235-8700
ADAM KEITH HUBLER MD
Radiology (Radiation Oncology)
101 PHYSICIANS WAY STE 111
LEBANON, TN 37090
Wilson County (615) 235-8700
SAMANTHA SMITH FNP-C
Nurse Practitioner (Family)
101 PHYSICIANS WAY STE 111
LEBANON, TN 37090
Wilson County (615) 449-0990

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 Lebanon Radiation Oncology Center, LLC's NPI number?

The NPI number for Lebanon Radiation Oncology Center, LLC is 1750080305. It was assigned to this organization in the NPPES registry on March 2, 2023.

Where is Lebanon Radiation Oncology Center, LLC located?

Lebanon Radiation Oncology Center, LLC is located at 101 Physicians Way Ste 111, Lebanon, TN 37090. The listed phone number is (615) 329-0570.

What is Lebanon Radiation Oncology Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Lebanon Radiation Oncology Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2311912) is associated with this NPI, valid through September 30, 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 Lebanon Radiation Oncology Center, LLC was last updated on May 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.