PHYSICIANS REFERENCE LABORATORY, INC
NPI 1295848208
Clinical Medical Laboratory in Chattanooga, TN

NPI Status: Active since August 16, 2006

Contact Information

243 SIGNAL MOUNTAIN RD
SUITE G
CHATTANOOGA, TN
ZIP 37405
Phone: (423) 266-1222
Fax: (423) 266-1271

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 44D2152299
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-06-2026

About PHYSICIANS REFERENCE LABORATORY, INC

This page provides the complete NPI Profile along with additional information for Physicians Reference Laboratory, Inc, a provider established in Chattanooga, Tennessee operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1295848208 assigned on August 2006. The practitioner's primary taxonomy code is 291U00000X with license number 0000004059 (TN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Physicians Reference Laboratory, Inc. The authorized official of this NPI record is Mr. Charles Gorham Rollins M.t. (Lab Manger)

NPI
1295848208
Provider Legal Name
PHYSICIANS REFERENCE LABORATORY, INC.
Other Organization Name
PHYSICIANS REFERENCE LABORATORY, INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
243 SIGNAL MOUNTAIN RD SUITE G CHATTANOOGA, TN 37405
Location Phone
(423) 266-1222
Location Fax
(423) 266-1271
Mailing Address
243 SIGNAL MOUNTAIN RD SUITE G CHATTANOOGA, TN 37405
Mailing Phone
(423) 266-1222
Mailing Fax
(423) 266-1271
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2006
Last Update Date
04-01-2008
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Establishments like Physicians Reference Laboratory, Inc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
0000004059
License State
TN
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHARLES GORHAM ROLLINS M.T.

Authorized Official Title
LAB MANGER
Authorized Official Phone
(423) 886-1212

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4059OTHER (01)TNTENNESSE STATE LICIENSE
3404207MEDICARE ID-TYPE UNSPECIFIED (04)TN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2152299
Facility Type
Physician Office
Certificate Effective Date
August 07, 2024
Certificate Expiration Date
August 06, 2026
Laboratory Director
DR. WILLIAMS E. MEADOWS III
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Physicians Reference Laboratory, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295848208
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221851641620
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 6 + 4 + 1 + 6 + 2 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1295848208 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528332194 LONA CAROL BIETER LMT
Individual
Massage Therapist243 SIGNAL MOUNTAIN RD SUITE E
CHATTANOOGA, TN 37405
(423) 605-4855

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295848208, enumerated in the NPI registry as an "organization" on August 16, 2006

The provider is located at 243 Signal Mountain Rd Suite G Chattanooga, Tn 37405 and the phone number is (423) 266-1222

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 44D2152299 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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