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Organization

PATHGROUP LABS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW WALKER (SVP, REVENUE CYCLE MANAGEMENT)
(615) 221-4400
Entity
Organization

Contact information

Practice address
1010 AIRPARK CENTER DR, NASHVILLE, TN 37217-5200
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
4052
TN
291U00000X
Clinical Medical Laboratory

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01455767
MS
01
100042158
PHP TENNCARE
TN
05
200460360A
IN
01
220815100
PASSPORT ADVANTAGE
KY
05
3404179
TN
05
37000619
KY
01
4056486
BLUE SHIELD
TN
01
50001168
PASSPORT
KY
01
610609600
US DEPT OF LABOR
01
6345016
CIGNA
05
7001263
NC
01
7375469
AETNA
05
968201772A
GA
01
C93014
CUMBERLAND HEALTHCARE
01
P00000604
RAILROAD MEDICARE
01
TN0100
JOHN DEERE HERITAGE
TN
Enumeration date
05/28/2006
Last updated
08/26/2025
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