Active NPI
Histopath, Inc.
- Clinical Medical Laboratory
- Corpus Christi, TX
National Provider Identifier
1881674182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HISTOPATH, INC.
- Practice address
- 4455 S Padre Island Dr Ste 39
Corpus Christi, TX 78411-5108 - Phone
- (361) 980-0077
- Fax
- (361) 992-3847
- NPI assigned
- Jan 20, 2006
- Last updated
- Jul 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Turner, MD
- Title
- Medical Director
- Phone
- (361) 992-4211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4455 S Padre Island Dr Ste 39
Corpus Christi, TX 78411-5108
Mailing address
PO Box 3758
Corpus Christi, TX 78463-3758
Phone (361) 992-4211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025345202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031208000606 | TX | Part B Supplier - Independent Clinical Laboratory | 5294631768 | Practice locations: Corpus Christi, TX |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Corpus Christi, TX
- NPI 1578543864
Member Of
Locations
3853 S Alameda St
Corpus Christi, TX 78411
Phone (361) 992-4040
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1649278144
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1588809339
-
- Anatomic Pathology & Clinical Pathology Physician
- Corsicana, TX
- NPI 1891775953
-
- Anatomic Pathology & Clinical Pathology Physician
- Corpus Christi, TX
- NPI 1942207782
-
- Anatomic Pathology & Clinical Pathology Physician
- Corpus Christi, TX
- NPI 1962400549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690761600000",
"number": "1881674182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3758",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784633758",
"telephone_number": "361-992-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 S PADRE ISLAND DR STE 39",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784115108",
"telephone_number": "361-980-0077",
"fax_number": "361-992-3847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HISTOPATH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "361-992-4211",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025345202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.