ETSU QUILLEN FERTILITY AND WOMEN'S SERVICES – NPI #1336408996
Clinical Medical Laboratory

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

ETSU QUILLEN FERTILITY AND WOMEN'S SERVICES is a clinical medical laboratory located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1336408996 to ETSU QUILLEN FERTILITY AND WOMEN'S SERVICES on May 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ETSU QUILLEN FERTILITY AND WOMEN'S SERVICES” is a dba name, the actual legal business name for this organization is MEDICAL EDUCATION ASSISTANCE CORPORATION. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was previously updated about 8 years ago on Aug 22, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETSU QUILLEN FERTILITY AND WOMEN'S SERVICES below.

NPI Profile for
MEDICAL EDUCATION ASSISTANCE CORPORATION

NPI Number
1336408996
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL EDUCATION ASSISTANCE CORPORATION
Doing Business As (dba): ETSU QUILLEN FERTILITY AND WOMEN'S SERVICES
Primary location
1319 SUNSET DR STE 103
JOHNSON CITY, TN 37604
Phone: (423) 439-7246 Fax: (423) 282-4698
Mailing address
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone: (423) 433-6050 Fax: (423) 433-6060
Organization Subpart
No
Authorized Official
RUSSELL LEWIS
EXECUTIVE DIRECTOR
Phone: (423) 433-6050
Updated
Identifiers

Identifiers for ETSU QUILLEN FERTILITY AND WOMEN'S SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLAB GROUP NPITN1235200676
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
TN 4210

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.