| Bordeaux Laboratories Inc | |
|
41 Peabody St Nashville TN 37210-2125 | |
| (615) 260-0355 | |
| Not Available |
| Full Name | Bordeaux Laboratories Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 41 Peabody St, Nashville, Tennessee |
| Authorized Official Name and Position | Donquatis Merriman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6152600355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bordeaux Laboratories Inc 41 Peabody St Nashville TN 37210-2125 Ph: () - | Bordeaux Laboratories Inc 41 Peabody St Nashville TN 37210-2125 Ph: (615) 260-0355 |
| NPI Number | 1033845813 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033845813 | NPI | - | NPPES |
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