Anatomic Pathology Lab – Clinical Medical Laboratory, NPI 1124075635
Clinical Medical Laboratory
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Anatomic Pathology Lab
4123 Norfolk St
Houston, TX 770276827
Phone: (615) 218-2454
Type: Location
3512 Old Montgomery Hwy
Homewood, AL 352095750
Phone: (615) 218-2454
Type: Location
3918 Montclair Rd Ste 105
Birmingham, AL 352132417
Phone: (615) 218-2454
Type: Location
Airpark Center Drive, Nashville, Davidson County, Tennessee, 37217, United States
NASHVILLE, TN 372175200
Phone: (615) 221-4474
Fax: (615) 234-3774
Type: Location
4071 S Access Rd Ste 107
Chattanooga, TN 374061200
Phone: (615) 221-4474
Type: Location
1901 Phoenix Blvd Ste 210
Atlanta, GA 303495062
Phone: (615) 218-2454
Type: Location
2641 Rocky Ridge Ln
Vestavia Hills, AL 352164809
Phone: (615) 218-2454
Type: Location
2170 Business Park Drive
Memphis, TN 38134
Phone: (615) 218-2454
Type: Location
5301 VIRGINIA WAY STE 300
BRENTWOOD, TN 370277542
Phone: (615) 221-4474
Fax: (615) 234-3774
Type: Mailing
5301, Virginia Way, Iroquois Estates, Brentwood, Williamson County, Tennessee, 37027, United States
SUITE 300
BRENTWOOD, TN 370277541
Phone: (615) 221-4474
Fax: (615) 234-3774
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2021-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1017 days ago).
Enrollment records
2
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| O20060614000023 | O | Independent Clinical Laboratory | TN | 2023-08-31 |
| O20210716001224 | O | Independent Clinical Laboratory | AL | 2026-07-31 |
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 |
|---|---|---|---|---|
| 81479 | Molecular pathology procedure | 1,022 | 989 | $0 |
| 81450 | Targeted genomic sequence analysis panel of dna or combine dna and rna of 5-50 genes associated with blood and lymphatic system disorders | 494 | 493 | $0 |
| 81219 | Gene analysis (calreticulin), common variants | 403 | 387 | $0 |
| 81206 | Translocation analysis (bcr/abl1) major breakpoint | 290 | 147 | $0 |
| 81256 | Gene analysis (hemochromatosis) common variants | 235 | 235 | $0 |
Insurance plans in this area (ZIP 77027)
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