Ameripath Texarkana 501a Corporation
Organization Active NPI Clinical Medical Laboratory · Texarkana, TX
NPI 1104981760 · NPPES record last updated Sep 19, 2008
Key facts
- NPI
- 1104981760
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 45D0482326 (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
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC.
Authorized official
- Name
- Mr. Michael H Greene
- Title
- VP
- Phone
- (214) 932-8270
National Provider Directory
Locations
5409 Plaza Dr
Texarkana, TX 75503
Phone (903) 223-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 45D0482326 | TX | Yes |
Addresses
Primary practice location
5409 Plaza Dr
Texarkana, TX 75503-1662
Mailing address
7111 Fairway Dr
Suite 400
Palm Beach Gardens, FL 33418-4207
Phone (561) 712-6265
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D0482326 | Other | TX | CLIA |
Other providers in Texarkana, TX
- Matt Allred
- Andrea Alston
- Thomas Alston
- America'S Medical Supply
- American Medical
- Samuel Osei Amoasi
- Gregg D Anderson
- Kurt Michael Anderson
- Mikala Brooke Anderson
- Neeley Anderson
All providers in Texarkana, TX · Clinical Medical Laboratory in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.