Organization Active NPI

Utmg Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
National Provider Identifier
1346932852
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UT MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.