Provider Demographics
NPI:1124075635
Name:ASSOCIATED PATHOLOGISTS LLC
Entity type:Organization
Organization Name:ASSOCIATED PATHOLOGISTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUGUELET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-221-4400
Mailing Address - Street 1:5301 VIRGINIA WAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7541
Mailing Address - Country:US
Mailing Address - Phone:615-221-4474
Mailing Address - Fax:615-234-3774
Practice Address - Street 1:1010 AIRPARK CENTER DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-5200
Practice Address - Country:US
Practice Address - Phone:615-221-4474
Practice Address - Fax:615-234-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3319291U00000X
TN4009291U00000X
TN4121291U00000X
TN3322291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1157106OtherPASSPORT
TN4057394OtherBLUE SHIELD
TN28707OtherTLC TENNCARE
TN3403923Medicaid
KY37000262Medicaid
MS00125823Medicaid
GA000924811AMedicaid
AL009967330Medicaid
IN200370130AMedicaid
690009219OtherRAILROAD MEDICARE
TN28707OtherTLC TENNCARE