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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