Active NPI
Path Lab of Middle Tennessee
- Specialist
- Murfreesboro, TN
National Provider Identifier
1831236652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25282
- Legal business name
- PATH LAB OF MIDDLE TENNESSEE
- Practice address
- 400 N Highland Ave
Murfreesboro, TN 37130-3837 - Phone
- (615) 396-4489
- NPI assigned
- Jan 31, 2007
- Last updated
- Aug 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard D Michaelson, M.D.
- Title
- Laboratory Director
- Phone
- (615) 396-4489
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25282 | TN | Primary |
Addresses
Primary practice location
400 N Highland Ave
Murfreesboro, TN 37130-3837
Mailing address
PO Box 1069
Madison, TN 37116-1069
Phone (615) 868-1266
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Pathology/Laboratory Medicine Physician
- Murfreesboro, TN
- NPI 1023078243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249862400000",
"number": "1831236652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1069",
"city": "MADISON",
"state": "TN",
"postal_code": "371161069",
"telephone_number": "615-868-1266",
"fax_number": "615-868-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N HIGHLAND AVE",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371303837",
"telephone_number": "615-396-4489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATH LAB OF MIDDLE TENNESSEE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2009-08-10",
"status": "A",
"authorized_official_last_name": "MICHAELSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "615-396-4489",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "25282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.