Organization Active NPI

USA Pathology PLLC

  • Clinical Medical Laboratory
  • Stafford, TX
National Provider Identifier
1316842164
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
USA PATHOLOGY PLLC
Practice address
11104 W Airport Blvd Ste 206
Stafford, TX 77477-3039
Phone
(601) 296-0924
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Linda Y Liston
Title
Practice Manager
Phone
(936) 234-9557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11104 W Airport Blvd Ste 206
Stafford, TX 77477-3039

Mailing address

11104 W Airport Blvd Ste 206
Stafford, TX 77477-3039

National Provider Directory

National Provider Directory
Tax ID family
USA Pathology PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11104 W Airport Blvd
Ste 206
Stafford, TX 77477
Phone (601) 261-2587

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1316842164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 206",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 206",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773039",
            "telephone_number": "601-296-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "LISTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "936-234-9557"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.