Knoxville Dermatopathology Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KNOXVILLE DERMATOPATHOLOGY LABORATORY LLC

Practice address

6400 Pinecrest Dr Ste 200B
Plano, TX 75024-2960

Phone

(865) 584-1984

NPI assigned

Jul 6, 2005

Organization subpart

No

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

Authorized official

Name

Marc Ingram

Title

Ceo

Phone

(502) 876-9667

Specialties & licenses 1

Addresses

Other names 1

• Paul B Googe M.D. Former legal business name

Medicare fee-for-service enrollment

Enrolled in TN, TX3 enrollments

Enrollment records 3

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

CLIA laboratory certificates

Locations

Practitioners 7

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

• Paul B Googe, MD

  • Dermatopathology (Pathology) Physician
  • Knoxville, TN
  • NPI 1194789271
  Medicare reassignment NPD
• Jamshed U Haq, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Knoxville, TN
  • NPI 1265408553
  Medicare reassignment NPD
• Timothy Paul Powers, MD

  • Ophthalmology Physician
  • Oak Ridge, TN
  • NPI 1861486573
  Medicare reassignment NPD
• Adam Patrick Vogt, M.D.

  • Anatomic Pathology Physician
  • Montgomery, AL
  • NPI 1205095346

  Dermatopathology, TN

  Medicare reassignment NPD
• Andrea L Volk, M.D.

  • Dermatopathology (Pathology) Physician
  • Atlanta, GA
  • NPI 1659306793

  TN

  Medicare reassignment NPD
• Roy King, MD

  • Dermatopathology (Pathology) Physician
  • Knoxville, TN
  • NPI 1225036858
  NPD
• Meiklejohn Dane McKenzie, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Cookeville, TN
  • NPI 1417167768
  NPD (past)

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1619974573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 PINECREST DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242962",
            "telephone_number": "865-584-1933",
            "fax_number": "865-584-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PINECREST DR STE 200B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242960",
            "telephone_number": "865-584-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Lovell Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379341984",
            "country_code": "US",
            "telephone_number": "865-584-1933",
            "fax_number": "865-584-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KNOXVILLE DERMATOPATHOLOGY LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-876-9667"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul B Googe M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Victoria D Knoll, M.D.
• Kari R Knott, LPC
• Laura Ruth Knowles, PHD, LPC
• Shannon Knowlton, MS, RD, LD
• Keatis Ladawn Knox, MHA
• Hyejon Ko, O.D.
• Jane Yi Mei Ko, MD
• Koc Healthcare Services Inc
• Koc Healthcare Services Inc
• Stephanie Kochuparambil, PA

• Clinical Medical Laboratory in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.