Organization
AMERIPATH LUBBOCK 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
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 744-1887
(806) 744-5545
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
—
080384301
—
TX
01
—
336K
BCBS
TX
01
—
45D0055204
CLIA
TX
05
—
Z3164
—
NM
Enumeration date
01/31/2006
Last updated
05/13/2025
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