Medicaleducationassistancecorporationdbauniversityphysicianspracticegr
NPI 1891861373 · Clinical Medical Laboratory · Johnson City, TN
Medicaleducationassistancecorporationdbauniversityphysicianspracticegr is a Clinical Medical Laboratory organization in Johnson City, TN (NPI 1891861373).
Provider details
- NPI number
- 1891861373
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Russell Lewis, Executive Director(423) 433-6050
- License
- 3333 (TN)
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Etsu Andrology Lab
- Other name
- Etsu Andrology Lab
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2018-08-22
Frequently asked questions
- What is Medicaleducationassistancecorporationdbauniversityphysicianspracticegr's NPI number?
- Medicaleducationassistancecorporationdbauniversityphysicianspracticegr's National Provider Identifier (NPI) is 1891861373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicaleducationassistancecorporationdbauniversityphysicianspracticegr?
- Medicaleducationassistancecorporationdbauniversityphysicianspracticegr is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Medicaleducationassistancecorporationdbauniversityphysicianspracticegr located?
- Medicaleducationassistancecorporationdbauniversityphysicianspracticegr's practice location on file with NPPES is 325 N State of Franklin Rd, Johnson City, TN 37604.
- What is Medicaleducationassistancecorporationdbauniversityphysicianspracticegr's phone number?
- The practice phone number listed in the NPPES registry for Medicaleducationassistancecorporationdbauniversityphysicianspracticegr is (423) 439-7272.
- Who is the authorized official for Medicaleducationassistancecorporationdbauniversityphysicianspracticegr?
- The authorized official listed on Medicaleducationassistancecorporationdbauniversityphysicianspracticegr's NPPES record is Russell Lewis, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicaleducationassistancecorporationdbauniversityphysicianspracticegr's NPI active?
- Yes — Medicaleducationassistancecorporationdbauniversityphysicianspracticegr's NPI (1891861373) is active in the NPPES registry as of the last update on 2018-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.