Organization
AMERIPATH LUBBOCK 5.01(A) CORPORATION
Active
Parent organization
AMERIPATH INC.
Other names
Pathology Associates of Texas
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
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 878-5637
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1088364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286194001
—
TX
01
—
45D1088364
CLIA
TX
Enumeration date
01/11/2007
Last updated
08/12/2024
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