MEDICARE: MEMPHIS PATHOLOGY LABORATORY

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
1	291U00000X	Clinical Medical Laboratory	0000003251	TN
2	291U00000X	Clinical Medical Laboratory	0000002069	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3138591	OTHER	TN	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548370745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEMPHIS PATHOLOGY LABORATORY

Provider Business Mailing Address
First Line	:	1701 CENTURY CENTER CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38134-8975
Country	:	US
Telephone Number	:	901-405-8200
Fax Number	:	901-525-5465

Provider Business Practice Location Address
First Line	:	1701 CENTURY CENTER CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38134-8975
Country	:	US
Telephone Number	:	901-405-8200
Fax Number	:	901-328-3882

Authorized Official
Title or Position	:	SENIOR DIRECTOR
Name	:	MRS. DINA VALLADARES
Credential	:
Telephone Number	:	954-803-9405

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/19/2025

Similar Medicare Providers

1306863212 — HOLLY HILSENBECK PIERCE M.D.
Practice Location Address:

1701 CENTURY CENTER CV
MEMPHIS, TN
38134-8975

Practice Phone: 901-405-8200
Practice Fax:

1336549971 — JESS G. EVANS PH.D
Practice Location Address:

1701 CENTURY CENTER CV
MEMPHIS, TN
38134-8975

Practice Phone: 901-432-8605
Practice Fax: 901-844-8668

1750828844 — BMHSI/AEL MICROBIOLOGY LABORATORY, GP
Practice Location Address:

1701 CENTURY CENTER CV , SUITE 200
MEMPHIS, TN
38134-8975

Practice Phone: 901-405-8200
Practice Fax: 901-844-8669

1750533816 — HEMOPHILIA PREFERRED CARE OF MEMPHIS INC
Practice Location Address:

6423 SHELBY VIEW DR STE 104
MEMPHIS, TN
38134

Practice Phone: 800-757-9192
Practice Fax: 855-813-0583

1275251860 — KARLA ALEJANDRA MEJIA DUBEROW DDS
Practice Location Address:

5124 STAGE RD
MEMPHIS, TN
38134-3170

Practice Phone: 901-373-5433
Practice Fax:

1508016197 — ACCREDO HEALTH GROUP INC.
Practice Location Address:

1640 CENTURY CENTER PKWY , SUITE 101
MEMPHIS, TN
38134-8822

Practice Phone: 901-381-7141
Practice Fax: 901-261-6924

Directions to “MEMPHIS PATHOLOGY LABORATORY ” 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.