Southeastern Pathology Associates, PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0000004104 Issued in TN

Legal business name

SOUTHEASTERN PATHOLOGY ASSOCIATES, PLLC

Practice address

6025 Lee Hwy Ste 205
Chattanooga, TN 37421-2928

Phone

(423) 499-6128

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Xiao C Mu, MD, PHD

Title

Medical Director

Phone

(423) 499-6128

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Poplar Healthcare, PLLC

  • Specialist
  • Memphis, TN
  • NPI 1346271251

  Member Of

  NPD member

Locations

Practitioners 2

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

• Eric Walk, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Tucson, AZ
  • NPI 1568390763
  NPD
• Ronald Toolsie, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Chattanooga, TN
  • NPI 1962468199
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1831153436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 HACKS CROSS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258803",
            "telephone_number": "901-526-7444",
            "fax_number": "901-271-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 LEE HWY STE 205",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212928",
            "telephone_number": "423-499-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PATHOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "MU",
        "authorized_official_first_name": "XIAO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-499-6128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000004104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Transportation, LLC
• Southeastern Behavioral Health
• Southeastern Emergency Services of Memphis, P.C.
• Southeastern Endodontics
• Southeastern Orthotics & Prosthetics, Inc
• Southeastern Spine, PLLC
• Southeastern Surgical, LLC
• Southeastern Surgical, LLC
• Tanya Southerland
• Southern Health Partners, Inc.

• Clinical Medical Laboratory in Chattanooga, TN
• Providers in Chattanooga, 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 26, 2024; 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.