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COOKEVILLE PATHOLOGY LAB
NPI 1366440570
Specialist in Cookeville, TN

Active since July 12, 2005CLIA 44D0316108 · Accreditation
115 N PEACHTREE AVE, COOKEVILLE, TN 38501(931) 528-2836(931) 520-8650 Get Directions Write a Review

NPPES record last updated: January 16, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cookeville Pathology Lab NPPES

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

COOKEVILLE PATHOLOGY LAB (NPI 1366440570) is a healthcare organization registered as a specialist in Cookeville, Tennessee and active in the NPI registry since July 2005. The organization holds an CLIA Accreditation certificate valid through February 29, 2028 and lists Michael Thomas Hall, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1366440570
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOMMUNITY PATHOLOGY LABORATORY LLC
Location Address115 N PEACHTREE AVECookeville, TN 38501-2546
Mailing Address115 N Peachtree AveCookeville, TN 38501-2546 · (931) 528-2836 · Fax (931) 520-8650
Phone(931) 528-2836
Fax(931) 520-8650
Organization SubpartNo
Authorized OfficialMichael Thomas HallOffice Mgr · (931) 528-2836
Enumeration DateJuly 12, 2005
Last NPPES UpdateJanuary 16, 2008
✔ NPI 1366440570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 1965
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
115 N PEACHTREE AVE, Cookeville, TN 38501
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Other Names 1

Doing Business AsCookeville Pathology Lab

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cookeville Pathology Lab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Cookeville Pathology Lab, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Gabriel Collins, DO
Pathology
NPI 1104315282
115 N PEACHTREE AVE
Cookeville, TN 38501
(931) 528-2836
✔ PECOS✔ Accepts MedicareSame address
Timothy Collins, M.D.
Pathology
NPI 1891802658
115 N PEACHTREE AVE
Cookeville, TN 38501
(931) 528-2836
✔ PECOSSame address
Meiklejohn Mckenzie, DO
Pathology
NPI 1417167768
115 N PEACHTREE AVE
Cookeville, TN 38501
(931) 783-5777
✔ PECOS✔ Accepts MedicareSame address
Jason Nolan, M.D.
Pathology
NPI 1669512273
115 N PEACHTREE AVE
Cookeville, TN 38501
(931) 528-2836
✔ PECOS✔ Accepts MedicareSame address
Brent Sterling
Pathology
NPI 1306343199
1161 21ST AVE S
Nashville, TN 37232
(615) 343-4882
✔ PECOS✔ Accepts Medicare72 mi
Larry Zhao, MD
Pathology
NPI 1700012689
41 MALL RD
Burlington, MA 01805
(781) 744-8000
✔ PECOS✔ Accepts Medicare881 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

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 44D0316108

Community Pathology Laboratory Dba Cookeville Pathology Laboratory · Cookeville, TN
Active · expires Feb 29, 2028
CLIA Number44D0316108
Laboratory TypeIndependent
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorDr. Meiklejohn D. Mckenzie
Laboratory Phone(931) 528-2836
Laboratory LocationCommunity Pathology Laboratory Dba Cookeville Pathology Laboratory115 N Peachtree Ave, Cookeville, TN 38501
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.

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 Community Pathology Laboratory LLC's NPI number?

The NPI number for Community Pathology Laboratory LLC is 1366440570. It was assigned to this organization in the NPPES registry on July 12, 2005. The provider is doing business as Cookeville Pathology Lab.

Where is Community Pathology Laboratory LLC located?

Community Pathology Laboratory LLC is located at 115 N Peachtree Ave, Cookeville, TN 38501. The listed phone number is (931) 528-2836.

What is Community Pathology Laboratory LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Community Pathology Laboratory LLC enrolled in Medicare?

Yes. Community Pathology Laboratory LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Pathology Laboratory LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Pathology, reassign their Medicare billing to Community Pathology Laboratory LLC. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Pathology Laboratory LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 44D0316108) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Pathology Laboratory LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Community Pathology Laboratory LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Pathology Laboratory LLC was last updated on January 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.