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Organization

LABORATORY FOR KIDNEY PATHOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA H CHAVEZ (CORPORATE SECRETARY)
(615) 321-5729
Entity
Organization

Contact information

Practice address
1916 PATTERSON ST STE 501, NASHVILLE, TN 37203-2153
(615) 321-5729
(615) 320-0377
Mailing address
1916 PATTERSON ST STE 501, NASHVILLE, TN 37203-2153
(615) 321-5729
(615) 320-0377

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
1976
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1976
LAB LICENSE
TN
05
3370197
TN
01
44D0308047
CLIA
TN
Enumeration date
06/06/2007
Last updated
09/25/2023
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