WATAUGA PATHOLOGY ASSOCIATES PC
NPI 1174820971
Clinical Medical Laboratory in Johnson City, TN

Active since February 15, 2011CLIA 44D0923531 · Accreditation
1725 W MARKET ST, JOHNSON CITY, TN 37604(423) 431-1310(423) 431-6331 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Watauga Pathology Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATAUGA PATHOLOGY ASSOCIATES PC (NPI 1174820971) is a healthcare organization registered as a clinical medical laboratory in Johnson City, Tennessee and active in the NPI registry since February 2011. The organization holds an CLIA Accreditation certificate valid through April 26, 2027 and lists David Soike, President, as its authorized official.

NPPES Registry Identity

NPI1174820971
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWATAUGA PATHOLOGY ASSOCIATES PC
Location Address1725 W MARKET STJohnson City, TN 37604-6020
Mailing Address1725 W Market StJohnson City, TN 37604-6020 · (423) 431-1310 · Fax (423) 431-6331
Fax(423) 431-6331
Organization SubpartNo
Authorized OfficialDavid SoikePresident · (423) 431-1310
Enumeration DateFebruary 15, 2011
NPI 1174820971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1725 W MARKET ST, Johnson City, TN 37604

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 44D0923531

Watauga Pathology Associates PC · Johnson City, TN
Active · expires Apr 26, 2027
CLIA Number44D0923531
Laboratory TypeHospital
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorDr. Patrick N. Costello
Laboratory Phone(423) 431-1310
Laboratory LocationWatauga Pathology Associates PC1725 West Market Street, Johnson City, TN 37604
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 44D0971169

Watauga Pathology Associates Dba East Tennessee Ambulatory Surgery Ctr · Johnson City, TN
Expired · Aug 22, 2026
CLIA Number44D0971169
Laboratory TypeIndependent
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorDr. John Chad King
Laboratory Phone(423) 431-1310
Laboratory LocationWatauga Pathology Associates Dba East Tennessee Ambulatory Surgery Ctr701 Med Tech Parkway, Johnson City, TN 37604
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
1725 W MARKET ST
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
1725 W MARKET ST
JOHNSON CITY, TN 37604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Watauga Pathology Associates PC's NPI number?

The NPI number for Watauga Pathology Associates PC is 1174820971. It was assigned to this organization in the NPPES registry on February 15, 2011.

Where is Watauga Pathology Associates PC located?

Watauga Pathology Associates PC is located at 1725 W Market St, Johnson City, TN 37604. The listed phone number is (423) 431-1310.

What is Watauga Pathology Associates PC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Watauga Pathology Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 44D0923531) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Watauga Pathology Associates PC was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.