Organization Active NPI

Pathology Laboratory LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Harlingen, TX
National Provider Identifier
1497724777
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PATHOLOGY LABORATORY LLP
Practice address
2101 Pease St
Harlingen, TX 78550-8307
Phone
(956) 423-3335
Fax
(956) 421-5820
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Diana Garcia
Title
Credentialing
Phone
(956) 423-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

2101 Pease St
Harlingen, TX 78550-8307

Mailing address

PO Box 47727
San Antonio, TX 78265-8727
Phone (956) 423-3335

Other identifiers 1

IdentifierTypeStateIssuer
094781401MedicaidTX

National Provider Directory

National Provider Directory

Locations

1906 E Tyler Ave
Ste F
Harlingen, TX 78550

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1497724777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47727",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782658727",
            "telephone_number": "956-423-3335",
            "fax_number": "956-421-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508307",
            "telephone_number": "956-423-3335",
            "fax_number": "956-421-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY LABORATORY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "956-423-3335"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094781401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.