Active NPI
Consolidated Pathology Inc
- Clinical Medical Laboratory
- Nashville, TN
National Provider Identifier
1932457785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1531650 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130401000430 | TN | Part B Supplier - Independent Clinical Laboratory | 0042465783 | Practice locations: Nashville, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2053286 | Consolidated Pathology Inc | Accreditation | May 5, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- Clinical Medical Laboratory
- South San Francisco, CA
- NPI 1831440940
Member Of
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.