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UTMG DERMATOPATHOLOGY, LLC
NPI 1922343623
Clinical Medical Laboratory in Memphis, TN

Active since December 06, 2012CLIA 44D2049386 · Accreditation
930 MADISON AVE STE 890, MEMPHIS, TN 38103(901) 866-8834 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2020, Sep 21, 2016 (2 updates tracked since 2016).

About Utmg Dermatopathology, Llc NPPES

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

UTMG DERMATOPATHOLOGY, LLC (NPI 1922343623) is a healthcare organization registered as a clinical medical laboratory in Memphis, Tennessee and active in the NPI registry since December 2012. The organization holds an CLIA Accreditation certificate valid through September 3, 2027 and lists M. Barry Randall, Director, as its authorized official.

NPPES Registry Identity

NPI1922343623
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameUTMG DERMATOPATHOLOGY, LLC
Location Address930 MADISON AVE STE 890Memphis, TN 38103-3413
Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 866-8748
Phone(901) 866-8834
Organization SubpartNo
Authorized OfficialM. Barry RandallDirector · (901) 866-8360
Enumeration DateDecember 6, 2012
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1922343623 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.
930 MADISON AVE STE 890, Memphis, TN 38103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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)

Utmg Dermatopathology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Utmg Dermatopathology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sarah Smith, M.D.
Dermatology
NPI 1295955797
930 MADISON AVE STE 801
Memphis, TN 38103
(901) 866-8605
✔ PECOSSame address

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 44D2049386

Utmg Dermatopathology Lab Dba Ut Dermpath · Memphis, TN
Active · expires Sep 3, 2027
CLIA Number44D2049386
Laboratory TypeIndependent
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorDr. M. Barry Randall
Laboratory Phone(901) 866-8834
Laboratory LocationUtmg Dermatopathology Lab Dba Ut Dermpath930 Madison Ave, Ste 890 8th Fl, Memphis, TN 38103
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
25,866 services13,697 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
2,686 services2,169 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
1,938 services1,210 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
1,097 services744 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
815 services750 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
220 services51 patients

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 Utmg Dermatopathology, LLC's NPI number?

The NPI number for Utmg Dermatopathology, LLC is 1922343623. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Utmg Dermatopathology, LLC located?

Utmg Dermatopathology, LLC is located at 930 Madison Ave Ste 890, Memphis, TN 38103. The listed phone number is (901) 866-8834.

What is Utmg Dermatopathology, LLC's specialty?

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

Is Utmg Dermatopathology, LLC enrolled in Medicare?

Yes. Utmg Dermatopathology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Utmg Dermatopathology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Utmg Dermatopathology, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Utmg Dermatopathology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 44D2049386) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Utmg Dermatopathology, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Utmg Dermatopathology, 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 Utmg Dermatopathology, LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.