Laboratory for Kidney Pathology Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0000001976 Issued in TN

Legal business name

LABORATORY FOR KIDNEY PATHOLOGY INC

Practice address

1916 Patterson St
Suite 501
Nashville, TN 37203-2120

Phone

(615) 321-5729

NPI assigned

Jul 5, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia H Chavez

Title

Corporate Secretary

Phone

(615) 321-5729

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Laboratory for Kidney Pathology Inc

  • Anatomic Pathology Physician
  • Nashville, TN
  • NPI 1407059777

  7911098637

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Laboratory for Kidney Pathology Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laboratory for Kidney Pathology Inc

  • Anatomic Pathology Physician
  • Nashville, TN
  • NPI 1407059777
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lilia Dujua Mauricio, M.D.

  • Anatomic Pathology Physician
  • Nashville, TN
  • NPI 1609873744
  NPD
• Paul Persad, MD

  • Anatomic Pathology Physician
  • Nashville, TN
  • NPI 1962517045
  NPD
• Yihan Wang, M.D.

  • Anatomic Pathology Physician
  • Nashville, TN
  • NPI 1548375744
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1225035355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "address_2": "SUITE 501",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032120",
            "telephone_number": "615-321-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "address_2": "SUITE 501",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032120",
            "telephone_number": "615-321-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY FOR KIDNEY PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "615-321-5729"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000001976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400011",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "44D03040847",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB LICENSE",
            "identifier": "800025855",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORY LICENSE",
            "identifier": "00000001976",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Labarge
• Beshoui Labib
• Ma Thea Heidi Labitan, RN
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory for Kidney Pathology Inc
• Laboratory Management Services, LLC
• Miguel Angel Laboy
• Coralys Del Mar Labrador, DNP, APRN, FNP-BC
• Joshua E Labrin, MD

• Clinical Medical Laboratory in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.