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Organization
DFW 501A CORPORATION
Active
Organization
DFW 501A CORPORATION
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DARREN THOMAS WHEELER (VICE PRESIDENT)
(702) 733-7866
Entity
Organization
Contact information
Practice address
3301 MATLOCK RD, ARLINGTON, TX 76015-2908
(817) 472-4840
(817) 472-4954
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079554401
—
TX
01
—
45D1022007
CLIA
TX
Enumeration date
01/31/2006
Last updated
09/05/2024
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