NPI Lens

Bordeaux Laboratories Inc

NPI 1033845813ActiveOrganization· Clinic/Center· Nashville, TN

Clinic/Center in Nashville, Tennessee, registered in NPPES in July 2022. The authorized official on file is Donquatis Merriman, Chief Executive Officer.

Overview

NPI1033845813
StatusActive
Entity typeOrganization
NPI issuedJul 25, 2022
Last updated in NPPESAug 15, 2022
Certified by providerAug 15, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——
Counselor, Mental Health101YM0800X——
Psychologist, Clinical Child & Adolescent103TC2200X——
Psychologist, Health103TH0004X——
Dietitian, Registered133V00000X——
Dietitian, Registered, Nutrition, Pediatric133VN1004X——
Pharmacist183500000X——
Internal Medicine, Endocrinology, Diabetes & Metabolism207RE0101X——
Pediatrics, Pediatric Endocrinology2080P0205X——
Non-Pharmacy Dispensing Site332900000X——
Pharmacy, Mail Order Pharmacy3336M0002X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Nashville

All 44 Clinic/Center providers in Nashville · All Clinic/Center providers in Tennessee