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DESTINED FOR GREATNESS
NPI 1790493336
Pathology - Clinical Laboratory Director, Non-physician in Ripley, TN

Active since November 14, 2022
274 VOLZ AVE, RIPLEY, TN 38063(731) 671-8273 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destined For Greatness NPPES

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

DESTINED FOR GREATNESS (NPI 1790493336) is a healthcare organization registered as a clinical laboratory director, non-physician in Ripley, Tennessee and active in the NPI registry since November 2022. The organization lists Lakili Treadway, Owner, as its authorized official.

NPPES Registry Identity

NPI1790493336
Entity TypeOrganization
Primary Taxonomy247ZC0005X
Legal Business NameDESTINED FOR GREATNESS
Location Address274 VOLZ AVERipley, TN 38063-2078
Mailing Address274 Volz AveRipley, TN 38063-2078
Phone(731) 671-8273
Organization SubpartNo
Authorized OfficialLakili TreadwayOwner · (731) 671-8273
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 12, 2022
✔ NPI 1790493336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
274 VOLZ AVE, Ripley, TN 38063
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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

Other Providers at the Same Location NPPES

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

LAKILI TREADWAY
Student in an Organized Health Care Education/Training Program
274 VOLZ AVE
RIPLEY, TN 38063
Lauderdale County (731) 419-2509

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 Destined For Greatness's NPI number?

The NPI number for Destined For Greatness is 1790493336. It was assigned to this organization in the NPPES registry on November 14, 2022.

Where is Destined For Greatness located?

Destined For Greatness is located at 274 Volz Ave, Ripley, TN 38063. The listed phone number is (731) 671-8273.

What is Destined For Greatness's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Destined For Greatness was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.