Organization Active NPI

Community Health Pathology Solutions

  • Anatomic Pathology & Clinical Pathology Physician
  • Addison, TX
National Provider Identifier
1700609864
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
COMMUNITY HEALTH PATHOLOGY SOLUTIONS
Practice address
4006 Belt Line Rd Ste 175
Addison, TX 75001-5807
Phone
(214) 619-5632
Fax
(888) 548-2767
NPI assigned
Nov 6, 2024
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Jesse Tovar
Title
Manager
Phone
(214) 619-5632

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

4006 Belt Line Rd Ste 175
Addison, TX 75001-5807

Mailing address

4006 Belt Line Rd # 185
Addison, TX 75001-4371
Phone (214) 619-5632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429000903 TX Part B Supplier - Clinic/Group Practice 0840716296 Receives reassigned benefits from 2 practitioners
Practice locations: Addison, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2324646Community Health Pathology Solutions, PLLC4006 Belt Line Rd Ste 175, Addison, TX 75001AccreditationFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

4006 Belt Line Rd
Ste 175
Addison, TX 75001
Phone (214) 619-5632

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1700609864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 BELT LINE RD # 185",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014371",
            "telephone_number": "214-619-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 BELT LINE RD STE 175",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015807",
            "telephone_number": "214-619-5632",
            "fax_number": "888-548-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH PATHOLOGY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-619-5632"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.