Basic Information
Provider Information
NPI: 1780768895
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATES
FirstName: JUSTIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1010 AIRPARK CENTER DR
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372175200
CountryCode: US
TelephoneNumber: 6152214400
FaxNumber:  
Practice Location
Address1: 1010 AIRPARK CENTER DR
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372175200
CountryCode: US
TelephoneNumber: 6155629200
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/25/2006
LastUpdateDate: 09/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0101XMD39948TNY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
207ZP0102XMD39948TNN Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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