Cookeville Pathology Laboratory

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COOKEVILLE PATHOLOGY LABORATORY

Practice address

115 N Peachtree Ave
Cookeville, TN 38501-2546

Phone

(931) 528-2836

Fax

(931) 520-8650

NPI assigned

Jul 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mike T Hall

Title

Office MGR

Phone

(931) 528-2836

Specialties & licenses 1

Addresses

Tax ID family

Cookeville Pathology la2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cookeville Pathology Lab

  • Specialist
  • Cookeville, TN
  • NPI 1881781417
  NPD tax ID

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700818770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N PEACHTREE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012546",
            "telephone_number": "931-528-2836",
            "fax_number": "931-520-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N PEACHTREE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012546",
            "telephone_number": "931-528-2836",
            "fax_number": "931-520-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKEVILLE PATHOLOGY LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "931-528-2836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cookeville Hospitalist Group, PLLC
• Cookeville Medical Center PC (Cookeville Medical Center)
• Cookeville Neurology
• Cookeville Oral Surgery, PLLC
• Cookeville Pathology Lab
• Cookeville Pediatric Associates, PLLC
• Cookeville Pharmacy LLC (Andy's Pharmacy)
• Cookeville Pharmacy LLC (Andy's Pharmacy)
• Cookeville Primary Care Associates, PC
• Cookeville Psychiatric Solutions PLLC

• Specialist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.