Active NPI
Pathology Network LLC
- Clinical Medical Laboratory
- Knoxville, TN
National Provider Identifier
1457195109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PATHOLOGY NETWORK LLC
- Practice address
- 9217 Park West Blvd Ste E4
Knoxville, TN 37923-4421 - Phone
- (561) 507-0522
- NPI assigned
- Jun 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Dzeva
- Title
- Coo
- Phone
- (561) 507-0522
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
9217 Park West Blvd Ste E4
Knoxville, TN 37923-4421
Mailing address
160 SW 12TH Ave Ste 103a
Deerfield Beach, FL 33442-3120
Phone (561) 507-0522
Other practice location 1
160 SW 12th Ave Ste 103C
Deerfield Beach, FL 33442-3119
Phone (561) 507-0522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251231003470 | FL | Part B Supplier - Independent Clinical Laboratory | 1456899665 | Practice locations: Deerfield Beach, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2304180 | Pathology Network LLC | Accreditation | Apr 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
160 SW 12th Ave
Ste 103C
Deerfield Beach, FL 33442
Phone (561) 507-0522
3049 NW 60th St
Ste A
Fort Lauderdale, FL 33309
9217 Park West Blvd
Ste E4
Knoxville, TN 37923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1457195109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 SW 12TH AVE STE 103A",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334423120",
"telephone_number": "561-507-0522",
"fax_number": "561-431-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9217 PARK WEST BLVD STE E4",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234421",
"telephone_number": "561-507-0522"
}
],
"practiceLocations": [
{
"address_1": "160 SW 12th Ave Ste 103C",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334423119",
"country_code": "US",
"telephone_number": "561-507-0522",
"fax_number": "561-431-2922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PATHOLOGY NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-19",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "DZEVA",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "561-507-0522"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.