Active NPI
East Texas Pathology Laboratories
- Anatomic Pathology & Clinical Pathology Physician
- Athens, TX
National Provider Identifier
1942437116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- J2242
- Legal business name
- EAST TEXAS PATHOLOGY LABORATORIES
- Practice address
- 134 Rosedale Dr
Athens, TX 75751-3625 - Phone
- (903) 675-0080
- NPI assigned
- Jun 16, 2009
- Last updated
- Jun 18, 2009
- 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
- Melissa Yarbrough
- Title
- VP Operations
- Phone
- (214) 536-5634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | J2242 | TX | Primary |
Addresses
Primary practice location
134 Rosedale Dr
Athens, TX 75751-3625
Mailing address
PO Box 730
Caddo Mills, TX 75135-0730
Phone (903) 675-0080
National Provider Directory
National Provider Directory- Tax ID family
- East Texas Pathology Laboratories
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Athens, TX
- NPI 1154445419
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245283200000",
"number": "1942437116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 730",
"city": "CADDO MILLS",
"state": "TX",
"postal_code": "751350730",
"telephone_number": "903-675-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 ROSEDALE DR",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513625",
"telephone_number": "903-675-0080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST TEXAS PATHOLOGY LABORATORIES",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-18",
"status": "A",
"authorized_official_last_name": "YARBROUGH",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "214-536-5634"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "J2242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TX
- East Texas Home Health Services LLC (UT Health East Texas Home Health Services)
- East Texas Medical Center Athens
- East Texas Medical Center Healthcare Associates (First Physicians)
- East Texas Medical Center Home Services (ETMC Home Health - West)
- East Texas Medical Imaging
- East Texas Psychological Services, PLLC
- East Texas Radiological Consultants P a
- Eastern Texas Pathology Laboratories, LLC
- Terri Lynn Eckert, M.D.
- Jonathan D Edwards, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.