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

Medicaleducationassistancecorporationdbauniversityphysicianspracticegr

Organization Clinical Medical Laboratory · NPI 1891861373

Medicaleducationassistancecorporationdbauniversityphysicianspracticegr is a Clinical Medical Laboratory in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006

Practice location Address checks out

325 N State Of Franklin Rd
Johnson City, TN 37604
Phone: (423) 439-7272
Fax: (423) 439-7235
Show map & directions

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

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 3333 (TN)

Record details

NPI number1891861373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Lewis — Executive Director · (423) 433-6050
Other names Etsu Andrology Lab; Etsu Andrology Lab
NPI enumeratedNovember 28, 2006
Last updated in NPPESAugust 22, 2018
Mailing addressPo Box 699, Mountain Home, TN 37684-0699

Other providers in Johnson City