# UTMG PATHOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UT MEDICAL GROUP, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346932852
- **Legal business name:** UT MEDICAL GROUP, INC.
- **Authorized official:** COURTNEY LOVE (VP OF ORGAN EFFECTIVENESS ADMIN)
- **Authorized official phone:** (901) 866-8105

## Contact information

- **Practice address:** 930 MADISON AVE STE 500, MEMPHIS, TN 38103-3410
- **Practice address phone:** (901) 448-6300
- **Mailing address:** 1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
- **Mailing address phone:** (901) 866-8748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/23/2023
- **Last updated:** 01/23/2025