AMERIPATH LUBBOCK 5.01(A) CORPORATION (NPI# 1437209582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437209582 |
| Entity Type | Organization |
| Organization Name | AMERIPATH LUBBOCK 5.01(A) CORPORATION |
| Other Organization Name | PATHOLOGY ASSOCIATES OF TEXAS |
| Practice Address |
1301 Pennsylvania Ave Fort Worth TX 76104-2122 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 8178785637 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | EDWARD M KRAMER (VICE PRESIDENT) |
| Authorized Official Telephone | 8172505600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIPATH INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 45D1088364 | TX | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 286194001 | 05 | |
| TX | CLIA | 45D1088364 | 01 |
| Other Name | Type Code |
|---|---|
| Pathology Associates of Texas | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 W Rosedale St, Fort Worth, TX 761044041 | 8172505600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023102043 | Ameripath Lubbock 5.01(a) Corporation | Pathology | 4920 S Loop 289, Suite 101, Lubbock, TX 79414-4797 | 2006-10-03 |
| 1962508267 | Ameripath Lubbock 5.01(a) Corporation | Pathology | 800 West Randol Mill Road, Arlington, TX 76012-2504 | 2006-09-15 |
| 1447324025 | Ameripath Lubbock 5.01(a) Corporation | Clinical Medical Laboratory | 800 W Randol Mill Rd, 3rd Floor, Arlington, TX 76012-2504 | 2006-11-17 |
| 1700860434 | Ameripath Lubbock 5.01(a) Corporation | Pathology | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 | 2005-12-06 |
| Street Address |
1301 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227257 | Robert Louis Quillin | Pediatrics | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2005-07-05 |
| 1003414996 | Jana Mitchell | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-10-13 |
| 1730799941 | Brin Alexandra Morris | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1871103168 | Niki Sheth | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1033736863 | Molly Taylor | Respiratory Therapist, Registered | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-27 |
| 1215554175 | Suja Varghese | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1538786470 | Amanda A Viehmann | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1376169599 | Heather Nicole Le | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-23 |
| 1750904249 | Kelli Renee Vogler | Physician Assistant | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-19 |
| 1598387169 | Alim Virji | Radiology | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1821641820 | Texas Health Care, P.l.l.c. | Clinical Medical Laboratory | 2909 Lackland Road, Fort Worth, TX 76116-4119 | 2019-07-18 |
| 1720438484 | One Lab Diagnostics, LLC | Clinical Medical Laboratory | 3575 Lone Star Cir Ste 434, Fort Worth, TX 76177-8908 | 2016-06-14 |
| 1528417003 | Liberty Diagnostics | Clinical Medical Laboratory | 1001 12th Ave Ste 141, Fort Worth, TX 76104-3926 | 2016-06-06 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| 1639544844 | Schryver Medical Sales and Marketing, LLC | Clinical Medical Laboratory | 1011 Collier St, Suite B, Fort Worth, TX 76102-4579 | 2015-12-14 |
| 1760874077 | Renew Toxicology | Clinical Medical Laboratory | 5009 S Hulen St, Fort Worth, TX 76132-1967 | 2015-02-23 |
| 1518225069 | Medcare Diagnostics of America | Clinical Medical Laboratory | 501 Aviator Dr, Fort Worth, TX 76179-5416 | 2012-05-02 |
| 1932485067 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 800 West Magnolia Ave, Fort Worth, TX 76104-4611 | 2011-11-03 |
| 1245510742 | Labs 2 Go | Clinical Medical Laboratory | 2909 Yoakum St, Fort Worth, TX 76108-8906 | 2011-08-28 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.