Organization Active NPI

Cleburne Pathology, PA

  • Clinical Medical Laboratory
  • Cleburne, TX
National Provider Identifier
1821379983
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
L2813 Issued in TX
Legal business name
CLEBURNE PATHOLOGY, PA
Practice address
201 Walls Dr
Cleburne, TX 76033-4007
Phone
(713) 481-3568
Fax
(713) 432-0221
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Ms. Joanna Borkowski, M.D
Title
Owner
Phone
(469) 537-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X L2813 TX Primary

Addresses

Primary practice location

201 Walls Dr
Cleburne, TX 76033-4007

Mailing address

201 Walls Dr
Cleburne, TX 76033-4007
Phone (469) 537-7336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1821379983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WALLS DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334007",
            "telephone_number": "469-537-7336",
            "fax_number": "469-537-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WALLS DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334007",
            "telephone_number": "713-481-3568",
            "fax_number": "713-432-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEBURNE PATHOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "BORKOWSKI",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-537-7336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "L2813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.