Ameripath Lubbock 501a Corporation
Organization Active NPI Clinical Medical Laboratory · Roswell, NM
NPI 1801033683 · NPPES record last updated Apr 24, 2015
Key facts
- NPI
- 1801033683
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 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
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERIPATH INC
Authorized official
- Name
- Dr. Edward M Kramer, MD
- Title
- VP
- Phone
- (610) 550-3000
Member of 1
Practitioners 1
-
Charles D Osborn, MD
National Provider Directory
Locations
15132 Collections Ctr
Chicago, IL 60693
15132 Collections Ctr D
Chicago, IL 60693
207 N Union Ave
Ste F
Roswell, NM 88201
Phone (575) 627-2005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
117 E 19TH St
Roswell, NM 88201-5151
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07231083 | Medicaid | NM |
Other providers in Roswell, NM
- Alto Medical Services, PC
- Leticia Alvarado-Mize
- Dianna Alvarez
- Cynthia Amaya
- American Homepatient, Inc.
- Anaya Counseling
- Melvin Gabriel Anaya
- Ann S Anderson
- Erika Lynn Anderson
- Andrew D. Johnson, O.D., P.C.
All providers in Roswell, NM · Clinical Medical Laboratory in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.