Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mckenzie Medical Center Lab

Family Medicine Physician in Mc Kenzie, TN · enumerated 2007 · authorized official Lisa Page, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477747293

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Registry record

Entity type Organization (Type 2)

Legal business name Mckenzie Medical Center Lab

Other name <Unavail>

Practice address 205 Hospital Dr, Suite A, Mc Kenzie, TN, 38201

Phone (731) 352-7907

Fax (731) 352-4459

Enumeration date Sep 5, 2007

Last updated in NPPES Aug 27, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD23833 (TN) Primary

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

291U00000X Clinical Medical Laboratory Laboratories · License MD23833 (TN) Secondary

Authorized official

Name Lisa Page

Title Credentialing Manager

Phone (731) 352-7907

Other identifiers

Identifier	Type	State	Issuer
44D0315280	Other	-	CLIA
3380640	Medicaid	TN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-08-27. Verify at npiregistry.cms.hhs.gov.

Where is Mckenzie Medical Center Lab located?

The practice location on file with NPPES is in Mc Kenzie, TN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-27.