NPI Details
UTMG DERMATOPATHOLOGY, LLC is a clinical medical laboratory in Memphis, TN. 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. UTMG DERMATOPATHOLOGY, LLC NPI is 1922343623. The provider is registered as an organization entity type.
The provider's business location address is:
930 MADISON AVE STE 890
MEMPHIS, TN
ZIP 38103-413
Phone: (901) 866-8834
The provider's authorized official is M. Barry Randall .
The authorized official title is Director and has the following contact phone number (901) 866-8360.
The CLIA number assigned to this NPI record is 44D2049386 - independent with a certificate type of Certificate of Accreditation.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
- Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Antibody evaluation, each additional single antibody stain procedure (HCPCS:88350)
- Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
- Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
- Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)
- Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)
The enumeration date for this NPI number is 12/6/2012 and was last updated on 1/23/2025.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | TENNESSEE | Yes |
