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General NPI Number Information
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NPI Number | 1235186800
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Entity Type | Organization
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Legal Business Name | PATHGROUP LABS, LLC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1010 AIRPARK CENTER DR
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City | NASHVILLE
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State | TN
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Zip | 37217-5200
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Country | US
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Telephone | 615-221-4474
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Fax | 615-234-3774
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Provider Business Mailing Address
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Address Line | 5301 VIRGINIA WAY SUITE 300
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City | BRENTWOOD
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State | TN
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Zip | 37027-7541
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Country | US
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Telephone | 615-221-4474
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Fax | 615-234-3774
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Authorized Official
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Title or Position | SVP, REVENUE CYCLE MANAGEMENT
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Name | MATTHEW WALKER
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Credential |
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Telephone | 615-221-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 4052
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License Number State | TN
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