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Contact Information

PATHGROUP LABS, LLC
1010 AIRPARK CENTER DR
NASHVILLE, TN37217-5200
 Phone: 615-221-4474
 Fax: 615-234-3774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for PATHGROUP LABS, LLC

NPI # 1235186800
LBN Legal business name PATHGROUP LABS, LLC
Authorized official MATTHEW WALKER - (SVP, REVENUE CYCLE MANAGEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2006
Last updated 08/26/2025 - About 9 months ago
Identifiers
TN License # 4052
GA Medicaid 968201772A
IN Medicaid 200460360A
KY Medicaid 37000619
MS Medicaid 01455767
NC Medicaid 7001263
TN Medicaid 3404179
Other 7375469 AETNA
Other 6345016 CIGNA
Other C93014 CUMBERLAND HEALTHCARE
Other P00000604 RAILROAD MEDICARE
Other 610609600 US DEPT OF LABOR
KY Other 50001168 PASSPORT
KY Other 220815100 PASSPORT ADVANTAGE
TN Other 4056486 BLUE SHIELD
TN Other TN0100 JOHN DEERE HERITAGE
TN Other 100042158 PHP TENNCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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