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

Active since February 15, 2011CLIA Certified · 2 labs
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: October 18, 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 2 active CLIA laboratory certificates 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Watauga Pathology Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Watauga Pathology Associates PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (13)

Pathology
NPI 1881858876
1725 W MARKET ST
Johnson City, TN 37604
(423) 431-1310
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1043506108
1725 W MARKET ST
Johnson City, TN 37604
(423) 431-1386
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1063707081
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-1310
✔ PECOS✔ Accepts Medicare0.3 mi
Pathology
NPI 1922292580
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-1310
✔ PECOS✔ Accepts Medicare0.3 mi
Pathology
NPI 1710952320
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6389
✔ PECOS✔ Accepts Medicare0.3 mi
Pathology
NPI 1396710505
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6389
✔ PECOS✔ Accepts Medicare0.3 mi
Pathology
NPI 1356316962
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6389
✔ PECOS✔ Accepts Medicare0.3 mi
Pathology
NPI 1871568121
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6913
✔ PECOS✔ Accepts Medicare0.3 mi
Pathology
NPI 1558637082
EAST TN STATE UNIV., DEPT. OF PATHOLOGY, VAMC, BLDG. 1
Mountain Home, TN 37684
(423) 439-6210
✔ PECOS✔ Accepts Medicare0.4 mi
Pathology
NPI 1669645123
209 N COLLEGE STREET GREENEVILLE PATHOLOGY ASSOCIATES
Greeneville, TN 37745
(423) 787-5148
✔ PECOS✔ Accepts Medicare27 mi
Pathology
NPI 1053979112
VCUHS DEPT OF PATH RESIDENCY, 980662 1250 E. MARSHALL STREET
Richmond, VA 23298
(804) 827-0561
✔ PECOS✔ Accepts Medicare287 mi
Pathology
NPI 1467569772
PATHOLOGY 406 600 N WOLFE ST JOHNS HOPKINS HOSPITAL,
Baltimore, MD 21287
(410) 955-1180
✔ PECOS✔ Accepts Medicare378 mi
Pathology
NPI 1871118760
2451 UNIVERSITY HOSPITAL DR FL 1
Mobile, AL 36617
(251) 471-7790
✔ PECOS✔ Accepts Medicare508 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Active · expires Aug 22, 2028
CLIA Number44D0971169
Laboratory TypeIndependent
Certificate Effective DateAugust 23, 2026
Certificate Expiration DateAugust 22, 2028
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.

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.

Is Watauga Pathology Associates PC enrolled in Medicare?

Yes. Watauga Pathology Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Watauga Pathology Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Pathology, reassign their Medicare billing to Watauga Pathology Associates PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Watauga Pathology Associates PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.