DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTHERN PATHOLOGY ASSOCIATES INC

MEDICARE: SOUTHERN PATHOLOGY ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical LaboratoryTN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CA5133OTHERTNRR MCARE-TN

General Provider Information

NPI Number : 1417923228
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN PATHOLOGY ASSOCIATES INC
Provider Business Mailing Address
First Line : PO BOX 51530
Second Line :
City : KNOXVILLE
State : TN
Zip : 37950-1530
Country : US
Telephone Number : 865-588-2928
Fax Number : 865-450-9374
Provider Business Practice Location Address
First Line : 2333 MCCALLIE AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-3258
Country : US
Telephone Number : 423-493-1550
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : GARY R LANHAM
Credential : MD
Telephone Number : 423-493-1552
Provider Enumeration Date : 02/23/2006
Last Update Date : 07/21/2022

Similar Medicare Providers

1912902099 — DR. STEPHAN F ESELGROTH M.D.
Practice Location Address:
2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258
Practice Phone: 423-698-6061
Practice Fax:
1922095751 — THEODORE A FEINTUCH MD
Practice Location Address:
2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258
Practice Phone: 423-493-1550
Practice Fax: 423-698-7858
1245206978 — GARY R LANHAM MD
Practice Location Address:
2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258
Practice Phone: 423-493-1550
Practice Fax:
1710953229 — CHARLES A EVANS MD
Practice Location Address:
2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258
Practice Phone: 423-493-1550
Practice Fax:
1306806690 — JENNIFER LEANN MOSER
Practice Location Address:
2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258
Practice Phone: 423-698-6061
Practice Fax:
1437119328 — ASSOCIATES IN DIAGNOSTIC RADIOLOGY INC
Practice Location Address:
2333 MCCALLIE AVE
CHATTANOOGA, TN
37404-3258
Practice Phone: 423-493-1387
Practice Fax: 423-553-1224

Directions to “SOUTHERN PATHOLOGY ASSOCIATES INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.