Convergent Diagnostics – Clinical Medical Laboratory, NPI 1619974573
Clinical Medical Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Convergent Diagnostics
315, Erin Drive, Bearden, Knoxville, Knox County, Tennessee, 37919, United States
KNOXVILLE, TN 379196202
Phone: (865) 766-8818
Fax: (865) 450-9374
Type: Location
U T Department of Agriculture, 2407, River Drive, Fort Sanders, Knoxville, Knox County, Tennessee, 37916, United States
KNOXVILLE, TN 379958107
Phone: (865) 584-1933
Fax: (865) 584-1323
Type: Mailing
6400 PINECREST DR STE 200
PLANO, TX 750242962
Phone: (865) 584-1933
Fax: (865) 584-1323
Type: Mailing
114 Lovell Rd Ste 202
Knoxville, TN 379341984
Phone: (865) 584-1933
Fax: (865) 584-1323
Type: Location
11124 KINGSTON PIKE STE 119-407
KNOXVILLE, TN 379342863
Phone: (865) 321-4001
Fax: (865) 584-1323
Type: Mailing
114 LOVELL RD STE 202
KNOXVILLE, TN 379341984
Phone: (865) 584-1933
Fax: (865) 584-1323
Type: Location
6400 PINECREST DR STE 200B
PLANO, TX 750242960
Phone: (865) 584-1984
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (312 days ago).
Enrollment records
3
Earliest due date
2025-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050801001055 | O | Clinic/Group Practice | TN | 2025-07-31 |
| O20240110003736 | O | Independent Clinical Laboratory | TN | TBD |
| O20241210000275 | O | Independent Clinical Laboratory | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 729 | 430 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 67 | 21 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 63 | 56 | $0 |
Insurance plans in this area (ZIP 37919)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.