Ameripath Texas, Inc.
Organization Active NPI Clinical Medical Laboratory · Sherman, TX
NPI 1295970580 · NPPES record last updated Oct 17, 2016
Key facts
- NPI
- 1295970580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 45D0982307 (TX)
- Legal business name
- AMERIPATH TEXAS, INC.
- Practice address
- 3409 N Highway 1417
Sherman, TX 75092-6634 - Phone
- (903) 463-1004
- Fax
- (903) 463-4545
- NPI assigned
- Dec 16, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC
Authorized official
- Name
- Dr. Edward Michael Kramer, MD
- Title
- Vice President
- Phone
- (610) 550-3003
Other NPIs on the same Medicare enrollment 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040731000232 | TX | Part B Supplier - Independent Clinical Laboratory | 7012820806 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: North Richland Hills, TX; Mansfield, TX; Lewisville, TX; Dallas, TX; Arlington, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 45D0982307 | TX | Yes |
Addresses
Primary practice location
3409 N Highway 1417
Sherman, TX 75092-6634
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100759140C | Medicaid | OK | |
| 45D0982307 | Other | TX | CLIA |
| 203143701 | Medicaid | TX |
Other names
- Ameripath Texas, LP
Other providers in Sherman, TX
- Alpha Orthopedic Physician Group, P.a.
- Ambience Community Services, LLC
- Amanda Michelle Ambriz
- Rana Amer
- American Current Care P.a.
- Muhamad Emad Amhan
- Jessica Amobi
- Alyssa Maria Amonson
- Sara Amys
- Jon Allen Anders
All providers in Sherman, 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 Oct 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.