PATHOLOGISTS LABORATORY INC
NPI 1568484582
Pathology - Clinical Pathology/Laboratory Medicine in Hermitage, TN

NPI Status: Active since July 25, 2006

Contact Information

4733 ANDREW JACKSON PKWY
STE 2C
HERMITAGE, TN
ZIP 37076
Phone: (615) 574-6540
Fax: (615) 889-3971

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  • Organization
  • Pathology
  • Clinical Pathology/Laboratory Medicine
  • Accepts Insurance
  • CLIA Number: 44D0658995
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 07-23-2025

About PATHOLOGISTS LABORATORY INC

This page provides the complete NPI Profile along with additional information for Pathologists Laboratory Inc, a provider established in Hermitage, Tennessee operating as a Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1568484582 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0105X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Brian R Carlson Md (President)

NPI
1568484582
Provider Name
PATHOLOGISTS LABORATORY INC
Entity Type
Organization
Location Address
4733 ANDREW JACKSON PKWY STE 2C HERMITAGE, TN 37076
Location Phone
(615) 574-6540
Location Fax
(615) 889-3971
Mailing Address
4733 ANDREW JACKSON PKWY STE 2C HERMITAGE, TN 37076
Mailing Phone
(615) 574-6540
Mailing Fax
(615) 889-3971
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2006
Last Update Date
10-09-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Clinical Pathology/Laboratory Medicine

Taxonomy Code
207ZP0105X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 2875 Indiv Med Deductible - EPO
  • Connect Silver 3825 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN R CARLSON MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 574-6540

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3108683MEDICARE PIN (08)TN 
3386167MEDICARE PIN (08)TN 
3401237MEDICARE PIN (08)TN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0658995
Facility Type
Independent
Certificate Effective Date
July 24, 2023
Certificate Expiration Date
July 23, 2025
Laboratory Director
DR. BRENT C. STERLING
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Pathologists Laboratory Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for PATHOLOGISTS LABORATORY INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568484582
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128888516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 8 + 8 + 5 + 1 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1568484582 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124087002 CLAUDE R VELASCO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4733 ANDREW JACKSON PKWY
HERMITAGE, TN 37076
(615) 574-6540
1184844144DR. PHILIP A. FONTENOT DDS
Individual
Dentist4733 ANDREW JACKSON PKWY SUITE 1-A
HERMITAGE, TN 37076
(615) 885-0136
1952442360DR. MARK S. TOTTY D.C.
Individual
Chiropractor4733 ANDREW JACKSON PKWY SUITE 1C
HERMITAGE, TN 37076
(615) 883-1020
1033457387TOTTY CHIROPRACTIC HEALTH & WELLNESS CENTER
Organization
Chiropractor4733 ANDREW JACKSON PKWY SUITE 1C
HERMITAGE, TN 37076
(615) 883-1020
1053679951DR. TREVA LATRON ARMSTRONG M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4733 ANDREW JACKSON PKWY SUITE G-1
HERMITAGE, TN 37076
(615) 574-6540

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568484582, enumerated in the NPI registry as an "organization" on July 25, 2006

The provider is located at 4733 Andrew Jackson Pkwy Ste 2c Hermitage, Tn 37076 and the phone number is (615) 574-6540

This medical organization specializes in Pathology with taxonomy code 207ZP0105X with a focus in Clinical Pathology/Laboratory Medicine

The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 44D0658995 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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