Organization
AMERIPATH TEXAS, INC.
Active
Parent organization
AMERIPATH INC.
Other names
Ameripath Texas, LP
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
2501 S STATE HIGHWAY 121 BUS STE 1210, LEWISVILLE, TX 75067-4394
(972) 891-3777
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(972) 934-4300
(972) 455-1212
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1066386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025473201
—
TX
05
—
09084043
—
MS
05
—
100759140A
—
OK
05
—
100759140F
—
OK
05
—
1347183
—
LA
05
—
189970709
—
AR
05
—
190071709
—
AR
05
—
78770262
—
NM
01
—
CL8032
BCBS
TX
05
—
LB602TX
—
AK
Enumeration date
02/07/2006
Last updated
10/14/2024
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