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PATHGROUP LABS LLC NPI 1235186800


NPI Information

NPI: 1235186800
Provider Name: PATHGROUP LABS, LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 44D1008678

Address:
1511 WESTOVER TER STE 201
GREENSBORO, NC
ZIP 27408
Phone: (615) 221-4400
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PATHGROUP LABS, LLC is a clinical medical laboratory in Greensboro, NC. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PATHGROUP LABS, LLC NPI is 1235186800. The provider is registered as an organization entity type.

The provider's business location address is:

1511 WESTOVER TER STE 201
GREENSBORO, NC
ZIP 27408-131
Phone: (615) 221-4400

The provider's authorized official is Ben W. Davis .
The authorized official title is Chairman/chief Manager and has the following contact phone number (615) 221-4400.

The CLIA number assigned to this NPI record is 44D1008678 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 4/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory4052TENNESSEEYes
2291U00000XClinical Medical LaboratoryNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17001263MEDICAIDNORTH CAROLINA
2C93014OTHERCUMBERLAND HEALTHCARE
36345016OTHERCIGNA
4200460360AMEDICAIDINDIANA
53404179MEDICAIDTENNESSEE
637000619MEDICAIDKENTUCKY
750001168OTHERKENTUCKYPASSPORT
8610609600OTHERUS DEPT OF LABOR
9P00000604OTHERRAILROAD MEDICARE
10968201772AMEDICAIDGEORGIA
11220815100OTHERKENTUCKYPASSPORT ADVANTAGE
1201455767MEDICAIDMISSISSIPPI
134056486OTHERTENNESSEEBLUE SHIELD
147375469OTHERAETNA
15TN0100OTHERTENNESSEEJOHN DEERE HERITAGE
16100042158OTHERTENNESSEEPHP TENNCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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