Provider Demographics
NPI:1992771364
Name:KNOXVILLE ASSOCIATED PATHOLOGISTS PC
Entity type:Organization
Organization Name:KNOXVILLE ASSOCIATED PATHOLOGISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-632-5992
Mailing Address - Street 1:PO BOX 11784
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37939-1784
Mailing Address - Country:US
Mailing Address - Phone:865-588-2928
Mailing Address - Fax:865-450-9374
Practice Address - Street 1:137 BLOUNT AVENUE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37871
Practice Address - Country:US
Practice Address - Phone:865-632-5992
Practice Address - Fax:865-632-5316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207ZP0102X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3700028800Medicaid
KY65911760Medicaid
TN166689000OtherDOL
TN3370328Medicaid
TNCH8273OtherRR MEDICARE
TN20004667OtherBCBS OF TN
KY3700028800Medicaid
TNCH8273Medicare PIN