Organization Active NPI

Consolidated Pathology Inc

  • Clinical Medical Laboratory
  • Nashville, TN
National Provider Identifier
1932457785
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CONSOLIDATED PATHOLOGY INC
Practice address
1802 Hayes St
Nashville, TN 37203-2504
Phone
(615) 345-6900
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Mr. Richard K. Jacques
Title
President
Phone
(615) 345-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0101X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1802 Hayes St
Nashville, TN 37203-2504

Mailing address

401 Commerce St
Ste. 600
Nashville, TN 37219-2446
Phone (615) 345-6900

Other identifiers 1

IdentifierTypeStateIssuer
1531650MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130401000430 TN Part B Supplier - Independent Clinical Laboratory 0042465783 Practice locations: Nashville, TN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2053286Consolidated Pathology Inc1802 Hayes St, Nashville, TN 37203AccreditationMay 5, 2028

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1802 Hayes St
Nashville, TN 37203
Phone (615) 345-6675

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1932457785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST",
            "address_2": "STE. 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192446",
            "telephone_number": "615-345-6900",
            "fax_number": "615-691-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 HAYES ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032504",
            "telephone_number": "615-345-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-345-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531650",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.