PATH LAB OF MIDDLE TENNESSEE (NPI# 1831236652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831236652 |
| Entity Type | Organization |
| Organization Name | PATH LAB OF MIDDLE TENNESSEE |
| Practice Address |
400 N Highland Ave Murfreesboro TN 37130-3837 |
| Mailing Address |
Po Box 1069 Madison TN 37116-1069 |
| Practice Telephone | 6153964489 |
| Mailing Telephone | 6158681266 |
| Mailing Fax Number | 6158681316 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-08-10 |
| Authorized Official Name | RICHARD D MICHAELSON (LABORATORY DIRECTOR) |
| Authorized Official Telephone | 6153964489 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25282 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | 220015757 | 01 |
| TN | RAILROAD MEDICARE | 220015692 | 01 |
| TN | 3083843 | 05 | |
| TN | BLUE CROSS | 2006591 | 01 |
| TN | 3032197 | 05 | |
| TN | BLUE CROSS | 3049004 | 01 |
| Street Address |
400 N HIGHLAND AVE |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37130-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124003561 | Nicholas James Dieringer | Internal Medicine | 400 N Highland Ave, Murfreesboro, TN 37130-3837 | 2005-12-08 |
| 1801036579 | Betsy Hirt Johnson | Registered Nurse | 400 N Highland Ave, Dept. of Education, Murfreesboro, TN 37130-3837 | 2009-02-20 |
| 1265678858 | Catherine S Wilson | Nurse Practitioner | 400 N Highland Ave, Murfreesboro, TN 37130-3837 | 2009-01-02 |
| 1336360809 | Michael L Stanz | Pharmacist | 400 N Highland Ave, Murfreesboro, TN 37130-3837 | 2007-05-01 |
| 1194846287 | Mtmc Laborist | Specialist | 400 N Highland Ave, Murfreesboro, TN 37130-3837 | 2007-04-03 |
| 1558496828 | Timothy Max Witzigreuter Sr. | Physician Assistant | 400 N Highland Ave, Murfreesboro, TN 37130-3837 | 2007-02-23 |
| 1316094204 | Jenifer L Tanner | Emergency Medicine | 400 N Highland Ave, Murfreesboro, Murfreesboro, TN 37130 | 2007-01-04 |
| 1124191010 | Kathryn Mills | Obstetrics & Gynecology | 400 N Highland Ave, Murfreesboro, TN 37130-3837 | 2006-11-16 |
| 1043381460 | Mtmc Hospitalist Services | Specialist | 400 N Highland Ave, Murfreesboro, TN 37130-3837 | 2006-11-10 |
| 1790798296 | Baptist Hospital Systems Inc | General Acute Care Hospital | 400 N Highland Ave, Murfreesboro, TN 37130 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760954374 | Ginger Marie Nolan | Speech-Language Pathologist | 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 | 2018-12-20 |
| 1710480835 | Winter Calvert Cullen | Chiropractor | 925 S. Church St. A200, Murfreesboro, TN 37130 | 2018-03-15 |
| 1821598368 | Carolina Lira | Social Worker | 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 | 2018-02-20 |
| 1003314477 | Sarah Elizabeth Howard | Recreation Therapist | 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 | 2018-01-31 |
| 1871012864 | Adam Gerard Fedewa | Physical Therapy Assistant | 1207woods Edge Dr, Murfreesboro, TN 37130 | 2017-09-12 |
| 1972027860 | Teri Andrea White | Specialist | 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 | 2017-08-01 |
| 1295285120 | Bethany Ann Malugin | Nurse Practitioner | 324 S. Bilbro Ave., Murfreesboro, TN 37130 | 2016-10-04 |
| 1982080636 | Lisa Anne Davis | Massage Therapist | 416 North Front Street, Murfreesboro, TN 37130 | 2015-08-05 |
| 1568844488 | Dental Excellence | Dentist | 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 | 2015-06-27 |
| 1932545134 | Burma Collins Developmental Services | Home Health | 2161 Slater Drive, Mufressboro, TN 37130 | 2013-05-14 |
| Find all providers in zip 37130 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083122642 | Daniela Kam | Specialist | 2615 Medical Center Pkwy Ste 1560, Murfreesboro, TN 37129-3758 | 2018-01-17 |
| 1437496577 | Center for Spine Joint and Neuromuscular Rehab PC | Specialist | 833 Memorial Blvd, Suite E, Murfreesboro, TN 37129-2986 | 2013-01-09 |
| 1356675177 | Jerry Neal Campbell | Specialist | 2110 Windsor St, Murfreesboro, TN 37130-1721 | 2009-09-25 |
| 1013156231 | Pain Management Group, P.C. | Specialist | 1547 Warrior Dr, Murfreesboro, TN 37128-0921 | 2009-02-11 |
| 1437316312 | Dana L Cox | Specialist | 257 Mcniel Dr, Murfreesboro, TN 37128-4509 | 2008-05-19 |
| 1073789004 | Sylvia Lunn | Specialist | 847 N Church St, Murfreesboro, TN 37130-2826 | 2008-04-30 |
| 1114102050 | Alice Jeanette Johnson | Specialist | 931 E Northfield Blvd, Murfreesboro, TN 37130-1204 | 2008-01-09 |
| 1124216395 | Jacqueline Ann Randolph | Specialist | 4131 Avalon Pl, Murfreesboro, TN 37128-4520 | 2007-10-11 |
| 1881880961 | Columbia Radiation Oncology | Specialist | 509 E Bell St, Murfreesboro, TN 37130-3059 | 2007-09-21 |
| 1437299195 | Stones River Medical Group PC | Specialist | 726 S. Church Street, Murfreesboro, TN 37130 | 2007-02-08 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37130 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.