Active NPI
Laboratory Physicians Association
- Anatomic Pathology & Clinical Pathology Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- LABORATORY PHYSICIANS ASSOCIATION
- Practice address
- 2700 East Broad Street
Mansfield, TX 76063 - Phone
- (682) 662-2000
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Brian Marcus, MD
- Title
- President
- Phone
- (214) 947-3500
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | |||
| Cytopathology Physician | 207ZC0500X | |||
| Hematology (Pathology) Physician | 207ZH0000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
2700 East Broad Street
Mansfield, TX 76063
Mailing address
PO Box 740968
Dallas, TX 75374-0968
Phone (214) 947-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000595 | TX | Part B Supplier - Clinic/Group Practice | 4385538065 |
Receives reassigned benefits from 11 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Addison, TX; Celina, TX; Dallas, TX; Mansfield, TX; McKinney, TX; Richardson, TX; Southlake, TX; Sunnyvale, TX |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- McKinney, TX
- NPI 1366773152
O20040212000595
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1457381352
O20040212000595
National Provider Directory
National Provider Directory- Tax ID family
- Laboratory Physicians Association
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- McKinney, TX
- NPI 1366773152
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1457381352
Locations
221 W Colorado Blvd
#218
Dallas, TX 75208
Phone (214) 941-7022
421 E State Highway 114
Fl 1
Southlake, TX 76092
Phone (817) 865-4465
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Worth, TX
- NPI 1023237872
Hematology
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1720304298
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1760732986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197590400000",
"number": "1114085867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740968",
"city": "DALLAS",
"state": "TX",
"postal_code": "753740968",
"telephone_number": "214-947-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 EAST BROAD STREET",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "76063",
"telephone_number": "682-662-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY PHYSICIANS ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2007-12-14",
"status": "A",
"authorized_official_last_name": "MARCUS",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-947-3500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.