Organization Active NPI

Histopath, Inc.

  • Clinical Medical Laboratory
  • Corpus Christi, TX
National Provider Identifier
1881674182
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
025345202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000606 TX Part B Supplier - Independent Clinical Laboratory 5294631768 Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Member of 1

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

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.

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.

Verify at the official NPI Registry.