Active NPI
Utmg Pathology, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
National Provider Identifier
1346932852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- UTMG PATHOLOGY, LLC
- Practice address
- 930 Madison Ave Ste 500
Memphis, TN 38103-3410 - Phone
- (901) 448-6300
- NPI assigned
- May 23, 2023
- Last updated
- Jan 23, 2025
- Organization subpart
- Yes
- Parent organization
- UT MEDICAL GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Love
- Title
- VP of Organ Effectiveness Admin
- Phone
- (901) 866-8105
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | Primary | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU |
Addresses
Primary practice location
930 Madison Ave Ste 500
Memphis, TN 38103-3410
Mailing address
1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (901) 866-8748
National Provider Directory
National Provider Directory- Part of
- Univ Tenn Med GRP
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
930 Madison Ave
#544A
Memphis, TN 38103
Phone (901) 448-8013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1346932852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 CRESTHAVEN RD STE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190809",
"telephone_number": "901-866-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MADISON AVE STE 500",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033410",
"telephone_number": "901-448-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UTMG PATHOLOGY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UT MEDICAL GROUP, INC.",
"enumeration_date": "2023-05-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "VP OF ORGAN EFFECTIVENESS ADMIN",
"authorized_official_telephone_number": "901-866-8105"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.