PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC NPI 1104855717

NPI Information

  • NPI: 1104855717
  • Provider Name: PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Former Legal Business Name: PATHOLOGISTS BIO-MEDICAL LABORATORIES LLP
  • CLIA Number: 45D0481682
  • Address: 1111 NORTHPOINT DR
    COPPELL, TX
    ZIP 75019
  • Phone: (972) 966-7830

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NPI Details

PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC is a clinical medical laboratory in Coppell, TX. The provider is (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. PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC NPI is 1104855717. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pathologists Bio-medical Laboratories Llp.

The provider's business location address is:

1111 NORTHPOINT DR
COPPELL, TX
ZIP 75019-831
Phone: (972) 966-7830

The provider's authorized official is Peter A. Dysert .
The authorized official title is President and has the following contact phone number (214) 823-6492.

The CLIA number assigned to this NPI record is 45D0481682 - independent with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Microscopic genetic analysis of tissue, manual, initial procedure (HCPCS:88368)
  • Microscopic genetic analysis of tissue, manual, each additional procedure (HCPCS:88369)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Antibody evaluation, each additional single antibody stain procedure (HCPCS:88350)
  • Evaluation of fine needle aspirate with interpretation and report (HCPCS:88173)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Pap test, automated thin layer preparation; automated system and manual rescreening (HCPCS:88175)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Pathology cytologic examination of specimen during surgery, initial site (HCPCS:88333)
  • Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure (HCPCS:88377)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode (HCPCS:88177)
  • Flow cytometry technique for dna or cell analysis, 16 or more markers (HCPCS:88189)
  • Evaluation of fine needle aspirate (HCPCS:88172)
  • Surgical pathology consultation and report on referred material requiring preparation of slides (HCPCS:88323)
  • Genetic sequencing localization, initial procedure (HCPCS:88365)
  • Bone marrow, smear interpretation (HCPCS:85097)
  • Pathology examination of tissue using a microscope, limited examination (HCPCS:88300)
  • Immunologic analysis technique on serum (immunofixation) (HCPCS:86334)
  • Protein measurement, serum (HCPCS:84165)
  • Pap test, manual screening (HCPCS:88142)
  • Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)

The enumeration date for this NPI number is 7/3/2006 and was last updated on 9/6/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory45D0481682TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1690003975OTHERTEXASRAILROAD MEDICARE
2127290803MEDICAIDTEXAS

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: 11/21/2025

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