Ameripath Texarkana 501a Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D0482326 Issued in TX

Legal business name

AMERIPATH TEXARKANA 501A CORPORATION

Practice address

5409 Plaza Dr
Texarkana, TX 75503-1662

Phone

(903) 223-5200

NPI assigned

Dec 26, 2006

Last updated

Sep 19, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

AMERIPATH INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael H Greene

Title

VP

Phone

(214) 932-8270

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1104981760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DR",
            "address_2": "SUITE 400",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184207",
            "telephone_number": "561-712-6265",
            "fax_number": "561-712-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 PLAZA DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031662",
            "telephone_number": "903-223-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH TEXARKANA 501A CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC.",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "214-932-8270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0482326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Allred, FNP
• Andrea Alston
• Thomas Alston, MD
• America's Medical Supply
• American Medical
• Samuel Osei Amoasi
• Gregg D Anderson, CRNA
• Kurt Michael Anderson, D.D.S., M.S.
• Mikala Brooke Anderson, DO
• Neeley Anderson

• Clinical Medical Laboratory in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.