Organization
AMERIPATH TEXARKANA 501A CORPORATION
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
MR. MICHAEL H GREENE (VP)
(214) 932-8270
Entity
Organization
Contact information
Practice address
5409 PLAZA DR, TEXARKANA, TX 75503-1662
(903) 223-5200
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(561) 712-6265
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D0482326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D0482326
CLIA
TX
Enumeration date
12/26/2006
Last updated
09/19/2008
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