Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid South Community Pathology

Organization Clinical Pathology/Laboratory Medicine Physician · NPI 1073841573

Mid South Community Pathology is a Clinical Pathology/Laboratory Medicine Physician in Tullahoma, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009

Practice location Address checks out

1805 N Jackson St Ste 7
Tullahoma, TN 37388-2290
Phone: (931) 461-8871
Fax: (931) 461-8874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X · Licence 1965 (TN)

Record details

NPI number1073841573
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommunity Pathology Laboratory
Authorized official Mike Hall — Office Manager · (931) 528-2836
NPI enumeratedNovember 23, 2009
Last updated in NPPESJanuary 8, 2010
Mailing address1805 N Jackson St, Suite 7, Tullahoma, TN 37388-2290