Community Pathology Laboratory LLC
NPI 1366440570ActiveOrganization· Specialist· Cookeville, TN
Specialist in Cookeville, Tennessee, registered in NPPES in July 2005. The authorized official on file is Michael Thomas Hall, Office Mgr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366440570 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2005 |
| Last updated in NPPES | Jan 16, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 1965 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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