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Organization

AMERIPATH LUBBOCK 5.01(A) 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
800 WEST RANDOL MILL ROAD, ARLINGTON, TX 76012-2504
(817) 460-4366
(817) 469-7563
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
45D0484474
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141594501
TX
Enumeration date
09/15/2006
Last updated
04/29/2025
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