Provider Demographics
NPI:1003863580
Name:ASSOCIATED PATHOLOGISTS, LLC
Entity Type:Organization
Organization Name:ASSOCIATED PATHOLOGISTS, LLC
Other - Org Name:ASSOCIATED PATHOLOGISTS LLC DBA PATHGROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-221-4400
Mailing Address - Street 1:1010 AIRPARK CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-5200
Mailing Address - Country:US
Mailing Address - Phone:615-221-4400
Mailing Address - Fax:
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:615-221-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)Group - Multi-Specialty
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathologyGroup - Multi-Specialty
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN121418OtherUNISON TENNCARE
IN245996OtherBLUE SHIELD
IN200131650Medicaid
TN2006712OtherBLUE SHIELD
3220313OtherCIGNA HEALTHCARE
KY000000245996OtherANTHEM
IL10022261OtherBLUE SHIELD
8531590OtherAETNA
AL529908380Medicaid
TN3373077Medicaid
3540013OtherUNITED HEALTHCARE
KY65932584Medicaid
VAVAA100518Medicare PIN
8531590OtherAETNA
IN180390Medicare PIN
3540013OtherUNITED HEALTHCARE
3220313OtherCIGNA HEALTHCARE
IN200131650Medicaid