Ameripath Lubbock 501a Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AMERIPATH LUBBOCK 501A CORPORATION

Practice address

117 E 19TH St
Roswell, NM 88201-5151

Phone

(575) 627-7000

Fax

(575) 627-7007

NPI assigned

Jan 15, 2009

Reactivated

Sep 20, 2011

Last updated

Apr 24, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

AMERIPATH INCAs reported in NPPES

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

Authorized official

Name

Dr. Edward M Kramer, MD

Title

VP

Phone

(610) 550-3000

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Mount Kisco, NY
  • NPI 1730982109

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Charles D Osborn, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Corsicana, TX
  • NPI 1891775953
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1801033683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 19TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015151",
            "telephone_number": "575-627-7000",
            "fax_number": "575-627-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH LUBBOCK 501A CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC",
        "enumeration_date": "2009-01-15",
        "last_updated": "2015-04-24",
        "deactivation_date": "2011-02-01",
        "reactivation_date": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-550-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Alvarado-Mize
• Antoinette Alvarado
• Dianna Alvarez, BCBA
• Cynthia Amaya, CPNP-PC
• American Homepatient, Inc.
• Anaya Counseling
• Melvin Gabriel Anaya, LMHC, LADAC
• Ann S Anderson, LISW
• Erika Lynn Anderson, OD
• Andrew D. Johnson, O.D., P.C.

• Clinical Medical Laboratory in Roswell, NM
• Providers in Roswell, NM by specialty
• Clinical Medical Laboratory in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.