Organization Active NPI

Pathology Network LLC

  • Clinical Medical Laboratory
  • Knoxville, TN
National Provider Identifier
1457195109
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jun 19, 2026

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20251231003470 FL Part B Supplier - Independent Clinical Laboratory 1456899665 Practice locations: Deerfield Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2304180Pathology Network LLC9217 Park West Blvd Suite E4, Knoxville, TN 37923AccreditationApr 27, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.