Active NPI
Ameripath Lubbock 5.01(a) Corporation
- Anatomic Pathology & Clinical Pathology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 45D0701182
- Legal business name
- AMERIPATH LUBBOCK 5.01(A) CORPORATION
- Practice address
- 1401 Pennsylvania Ave
Fort Worth, TX 76104-2113 - Phone
- (713) 432-1100
- Fax
- (713) 432-0221
- NPI assigned
- Dec 6, 2005
- Organization subpart
- Yes
- Parent organization
- AMERIPATH INC.
Authorized official
NPPES NPI Registry- Name
- Darren Thomas Wheeler
- Title
- Vice President
- Phone
- (702) 733-7866
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- Arlington, TX
- NPI 1962508267
O20031201000711
-
- Anatomic Pathology & Clinical Pathology Physician
- Lubbock, TX
- NPI 1134190705
O20031201000711
-
- Clinical Medical Laboratory
- Lubbock, TX
- NPI 1184788630
O20031201000711
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Worth, TX
- NPI 1184621518
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Worth, TX
- NPI 1609014026
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Arlington, TX
- NPI 1568983872
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Arlington, TX
- NPI 1366422743
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Arlington, TX
- NPI 1790765816
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Tyler, TX
- NPI 1548258833
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, VA
- NPI 1871590109
Anatomic Pathology & Clinical Pathology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000711 | TX | Part B Supplier - Clinic/Group Practice | 5890690085 |
Receives reassigned benefits from 19 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cleburne, TX; Plainview, TX; Lubbock, TX; Fort Worth, TX; Azle, TX; Arlington, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Ameripath Lubbock 501a Corporation
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lubbock, TX
- NPI 1023102043
-
- Clinical Medical Laboratory
- Fort Worth, TX
- NPI 1437209582
-
- Clinical Medical Laboratory
- Arlington, TX
- NPI 1447324025
-
- Anatomic Pathology & Clinical Pathology Physician
- Arlington, TX
- NPI 1962508267
-
- Clinical Medical Laboratory
- Texarkana, TX
- NPI 1538130059
-
- Anatomic Pathology & Clinical Pathology Physician
- Texarkana, TX
- NPI 1669444717
Locations
1301 Pennsylvania Ave
Fl 4
Ft Worth, TX 76104
Phone (682) 236-7805
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 45D0701182 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1401 Pennsylvania Ave
Fort Worth, TX 76104-2113
Mailing address
4770 Regent Blvd
Irving, TX 75063-2445
Other practice location 1
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 250-5600
Other practice location 2
10864 Texas Health Trl
Fort Worth, TX 76244-4897
Phone (682) 212-2100
Other practice location 3
108 Denver Trl
Azle, TX 76020-3614
Phone (817) 444-8630
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D0914073 | Other | TX | CLIA |
Other names 1
NPPES NPI Registry- Pathology Associates of Texas
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2026.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1700860434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 REGENT BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750632445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042113",
"telephone_number": "713-432-1100",
"fax_number": "713-432-0221"
}
],
"practiceLocations": [
{
"address_1": "1301 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761042122",
"country_code": "US",
"telephone_number": "817-250-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10864 Texas Health Trl",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762444897",
"country_code": "US",
"telephone_number": "682-212-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 Denver Trl",
"address_purpose": "LOCATION",
"city": "Azle",
"state": "TX",
"postal_code": "760203614",
"country_code": "US",
"telephone_number": "817-444-8630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMERIPATH LUBBOCK 5.01(A) CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERIPATH INC.",
"enumeration_date": "2005-12-06",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "702-733-7866"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "45D0701182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D0914073",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pathology Associates of Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.