University Pathology Group, PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

3232 Issued in TN

Legal business name

UNIVERSITY PATHOLOGY GROUP, PC

Practice address

930 Madison Ave
Suite 500
Memphis, TN 38163-0001

Phone

(901) 448-7020

Fax

(901) 448-8364

NPI assigned

Dec 12, 2005

Organization subpart

No

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

Authorized official

Name

Michael V Stevens, PHD

Title

Administrative Director

Phone

(901) 448-7920

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700861895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE",
            "address_2": "SUITE 500",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381630001",
            "telephone_number": "901-448-7020",
            "fax_number": "901-448-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE",
            "address_2": "SUITE 500",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381630001",
            "telephone_number": "901-448-7020",
            "fax_number": "901-448-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PATHOLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "901-448-7920",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "3232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRICING NUMBER",
            "identifier": "3404362",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Tennessee Health Science Center
• University of Tennessee Memphis Pediatrics
• University of Tennessee, Memphis
• University of Tennessee, Memphis
• University of TN Cytogenetics Lab-Memphis
• University Tennessee Health Science Center
• Up-Ward ABA
• Brittany Lynn Upadhyay, MD
• Victoria Renee Upchurch-Boyland
• Elizabeth Janette Roads Upchurch, M.A., CCC-SLP

• Clinical Medical Laboratory in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Medical Laboratory 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.