EAST TENNESSEE PATHOLOGY, PLLC
NPI 1194011080
Clinical Medical Laboratory in Morristown, TN

NPI Status: Active since June 20, 2011

Contact Information

908 W 4TH NORTH ST
MORRISTOWN-HAMBLEN HOSPITAL
MORRISTOWN, TN
ZIP 37814
Phone: (423) 586-4231
Fax: (423) 585-3388

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 44D2197785
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-26-2026

About EAST TENNESSEE PATHOLOGY, PLLC

This page provides the complete NPI Profile along with additional information for East Tennessee Pathology, Pllc, a provider established in Morristown, Tennessee operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1194011080 assigned on June 2011. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Izabela T Burja Md (Sole Proprietor)

NPI
1194011080
Provider Name
EAST TENNESSEE PATHOLOGY, PLLC
Entity Type
Organization
Location Address
908 W 4TH NORTH ST MORRISTOWN-HAMBLEN HOSPITAL MORRISTOWN, TN 37814
Location Phone
(423) 586-4231
Location Fax
(423) 585-3388
Mailing Address
908 W 4TH NORTH ST MORRISTOWN-HAMBLEN HOSPITAL MORRISTOWN, TN 37814
Mailing Phone
(423) 586-4231
Mailing Fax
(423) 585-3388
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2011
Last Update Date
06-20-2011
Code Navigator

Establishments like East Tennessee Pathology, Pllc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

IZABELA T BURJA MD

Authorized Official Title
SOLE PROPRIETOR
Authorized Official Phone
(423) 586-4231

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2197785
Facility Type
Physician Office
Certificate Effective Date
October 27, 2024
Certificate Expiration Date
October 26, 2026
Laboratory Director
SCOTT G. BORRELLI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to East Tennessee Pathology, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194011080, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 0 + 1 + 2 + 0 + 1 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1194011080.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Emergency Medicine
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Physician Assistant
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Emergency Medicine
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Clinic/Center (Ambulatory Surgical)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Internal Medicine (Hematology & Oncology)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Internal Medicine (Cardiovascular Disease)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hospitalist
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Registered Nurse
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Nurse Practitioner (Family)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Emergency Medicine
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Physician Assistant
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Emergency Medicine
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Internal Medicine
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Occupational Therapist
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Nurse Practitioner (Pediatrics)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Physician Assistant
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Psychiatric Unit
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Family Medicine
908 W 4TH NORTH ST
MORRISTOWN, TN 37814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194011080, enumerated as an "organization" on June 20, 2011.

The provider is located at 908 W 4TH NORTH ST MORRISTOWN-HAMBLEN HOSPITAL MORRISTOWN, TN 37814 and the phone number is (423) 586-4231.

Clinical Medical Laboratory with taxonomy code 291U00000X.