Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destined for Greatness

Organization Clinical Laboratory Director (Non-physician) · NPI 1790493336

Destined for Greatness is a Clinical Laboratory Director (Non-physician) in Ripley, Tennessee. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

274 Volz Ave
Ripley, TN 38063-2078
Phone: (731) 671-8273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X

Record details

NPI number1790493336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakili Treadway — Owner · (731) 671-8273
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 12, 2022
Mailing address274 Volz Ave, Ripley, TN 38063-2078