Organization · NPI-2
Ageless Men'S Health, LLC
Clinical Medical Laboratory · Memphis, TN
NPI number1003098997
StatusActive
Last updated in NPPESNov 11, 2024
Details
- NPI
- 1003098997
- Entity type
- Organization (NPI-2)
- Legal business name
- Ageless Men'S Health, LLC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2007
- Certification date
- Nov 11, 2024
- Last updated
- Nov 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 44D1072470 | TN | Yes |
Practice location
4515 Poplar Ave Ste 131Memphis, TN 38117-7520
Phone 901-507-8040
Mailing address
4515 Poplar Ave Ste 131Memphis, TN 38117-7520
Phone 901-507-8040
Other practice locations
9067 Poplar Ave Ste 109
Germantown, TN 38138-7851
Germantown, TN 38138-7851
Phone 901-522-6745
Authorized official
Amanda Wilkinson
Business Operations Director
7028180446
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