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AMERIPATH LUBBOCK 5.01(A) CORPORATION NPI 1700860434


NPI Information

NPI: 1700860434
Provider Name: AMERIPATH LUBBOCK 5.01(A) CORPORATION

Doing Business As: PATHOLOGY ASSOCIATES OF TEXAS

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 45D1088364

Address:
1401 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (713) 432-1100
Get Directions

AMERIPATH LUBBOCK 5.01(A) CORPORATION is an anatomic pathology and clinical pathology pathology in Fort Worth, TX. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. AMERIPATH LUBBOCK 5.01(A) CORPORATION NPI is 1700860434. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pathology Associates Of Texas.

The provider's business location address is:

1401 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-113
Phone: (713) 432-1100
Fax: (713) 432-0221

The provider's authorized official is Kristie M Dolan .
The authorized official title is Vice President and has the following contact phone number (866) 697-8378.

The CLIA number assigned to this NPI record is 45D1088364 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 4/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology45D0701182TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10T841OTHERTEXASBCBS
245D0914073OTHERTEXASCLIA
3200393940AMEDICAIDOKLAHOMA
4121877803MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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