NPI Details
MOUSHIRA A EBRAHIM is a clinical medical laboratory in Greenville, 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. MOUSHIRA A EBRAHIM NPI is 1992764674. The provider is registered as an organization entity type.
The provider Is Doing Business As Pathology Associates.
The provider's business location address is:
4818 WELLINGTON ST
SUITE 4
GREENVILLE, TX
ZIP 75402-010
Phone: (903) 455-4051
Fax: (903) 455-4051
The provider's authorized official is Moushira Anwar Ebrahim .
The authorized official title is President and has the following contact phone number (903) 454-4051.
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)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
- Detection test by nucleic acid for human papillomavirus (hpv), high-risk types (HCPCS:87624)
- Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision (HCPCS:G0123)
The enumeration date for this NPI number is 3/21/2006 and was last updated on 9/29/2016.
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 |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
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 |
| 1 | CL0239 | MEDICARE PIN | TEXAS | |
| 2 | 094948902 | MEDICAID | TEXAS | |