OrganizationActive
Oral Pathology Diagnostics
NPI 1699079491 · Clinical Medical Laboratory · Antioch, TN
Provider details
- NPI number
- 1699079491
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Tanya Gibson, President(615) 480-6800
- License
- 44D2016339 (TN)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2440 Edencrest Dr
Antioch, TN 37013-1919
Phone: (615) 480-6800
Street-level locationGet directions
Mailing address
Po Box 10076
Van Nuys, CA 91410-0076
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2011-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.