AMERIPATH TEXAS, INC. (NPI# 1730151317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730151317 |
| Entity Type | Organization |
| Organization Name | AMERIPATH TEXAS, INC. |
| Other Organization Name | AMERIPATH TEXAS, LP |
| Practice Address |
4770 Regent Blvd Irving TX 75063-2445 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 9729344300 |
| Practice Fax Number | 9724551212 |
| Mailing Telephone | 9729344300 |
| Mailing Fax Number | 9724551212 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | DR. EDWARD MICHAEL KRAMER (VICE PRESIDENT) |
| Authorized Official Telephone | 6105503003 |
| 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 | 45D1066386 | TX | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100759140F | 05 | |
| MS | 09084043 | 05 | |
| OK | 100759140A | 05 | |
| TX | BCBS | CL8032 | 01 |
| AK | LB602TX | 05 | |
| TX | 025473201 | 05 | |
| AR | 189970709 | 05 | |
| LA | 1347183 | 05 | |
| NM | 78770262 | 05 | |
| AR | 190071709 | 05 |
| Other Name | Type Code |
|---|---|
| Ameripath Texas, LP | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295970580 | Ameripath Texas, Inc. | Clinical Medical Laboratory | 3409 N Highway 1417, Sherman, TX 75092-6634 | 2008-12-16 |
| Street Address |
4770 REGENT BLVD |
| City | IRVING |
| State | TX |
| Zip Code | 75063-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467433532 | Wei Michael Si | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2005-11-07 |
| 1275895922 | Adeel Raza | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2012-06-08 |
| 1245494657 | Tanya Varma | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2008-07-15 |
| 1023211596 | Brian Michael Levenson | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-06-11 |
| 1487857983 | Jason S. Willis | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-06-11 |
| 1437352044 | Jacqueline Emmons | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-06-09 |
| 1689731861 | Suzanne Humphries Kreisberg | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2007-01-03 |
| 1790721538 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 4770 Regent Blvd, Irving, TX 75063-2445 | 2006-06-21 |
| 1548226483 | Shiril M. Hombal | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2006-04-20 |
| 1295707388 | Yehung Vivian Luo | Pathology | 4770 Regent Blvd, Irving, TX 75063-2445 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184685 | Pain Management Physicians of Dallas, Pllc | Clinical Medical Laboratory | 8404 Sterling St Ste B, Irving, TX 75063-2527 | 2020-04-29 |
| 1386118149 | Medstar Laboratory LLC | Clinical Medical Laboratory | 9901 Valley Ranch Pkwy E Ste 3015, Irving, TX 75063-7184 | 2019-01-15 |
| 1558869438 | Goto Lab Express Texas LLC | Clinical Medical Laboratory | 1300 W Walnut Hill Ln Ste 256, Irving, TX 75038-2914 | 2018-01-25 |
| 1033650866 | Firstox Laboratories, LLC | Clinical Medical Laboratory | 4850 Plaza Dr, Irving, TX 75063-2317 | 2017-03-13 |
| 1023472891 | Lakeside Clinical Laboratory LLC | Clinical Medical Laboratory | 2211 Century Center Blvd Ste 110, Irving, TX 75062-4960 | 2016-04-07 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1386023620 | Gibson Diagnostic Labs, LLC | Clinical Medical Laboratory | 813 N O Connor Rd, Irving, TX 75061-4510 | 2015-05-19 |
| 1265839963 | Quicklabs Usa LLC | Clinical Medical Laboratory | 611 N Macarthur Blvd Ste 115, Irving, TX 75061-7423 | 2014-11-24 |
| 1730586512 | Medlab Diagnostics Inc | Clinical Medical Laboratory | 616 N Macarthur Blvd, Irving, TX 75061-7424 | 2014-11-23 |
| 1780940270 | Usmd Diagnostic Services, LLC | Clinical Medical Laboratory | 6333 North State Highway 161, Suite 200, Irving, TX 75038-4049 | 2012-04-09 |
| Find all providers in IRVING | ||||
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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.