Clear Lake Pathology Partners LTD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

CLEAR LAKE PATHOLOGY PARTNERS LTD

Practice address

6801 Emmett F Lowry Expy
Department of Pathology
Texas City, TX 77591-2500

Phone

(281) 338-3208

Fax

(281) 338-3427

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Marion M. Rundell, M.D.

Title

President

Phone

(281) 338-3208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1164781985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744127",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753744127",
            "telephone_number": "281-338-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 EMMETT F LOWRY EXPY",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912500",
            "telephone_number": "281-338-3208",
            "fax_number": "281-338-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE PATHOLOGY PARTNERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "RUNDELL",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-338-3208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaa Cheremateng
• Yash Chopra, MD
• Vicki Chu, MD
• William Anthony Chuoke Jr., D.D.S.
• City of Texas City
• Cameron Bryce Cleveland
• Coastal Care LLC
• Coastal Eye Associates, PLLC
• Coastal Health & Wellness
• Coastal Health & Wellness

• All providers in Texas City, TX
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.