Knoxville Dermatopathology Laboratory LLC
Clinical Medical Laboratory in Plano, TX. Organization (NPI-2).
NPI number1619974573
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1619974573
- Entity type
- Organization (NPI-2)
- Legal business name
- Knoxville Dermatopathology Laboratory LLC
- Organization subpart
- No
- Enumeration date
- Jul 6, 2005
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Paul B Googe M.D. (Former Legal Business Name)
Practice location
6400 Pinecrest Dr Ste 200bPlano, TX 75024-2960
Phone 865-584-1984
Mailing address
6400 Pinecrest Dr Ste 200Plano, TX 75024-2962
Phone 865-584-1933 · Fax 865-584-1323
Other practice locations
114 Lovell Rd Ste 202
Knoxville, TN 37934-1984
Knoxville, TN 37934-1984
Phone 865-584-1933 · Fax 865-584-1323
Authorized official
Marc Ingram
Ceo
5028769667
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