East Texas Pathology Laboratories

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

J2242 Issued in TX

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

Organization subpart

No

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

Addresses

Other identifiers 1

Tax ID family

East Texas Pathology Laboratories2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Texas Pathology Laboratories, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Athens, TX
  • NPI 1154445419
  NPD tax ID

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James R Ogburn Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Athens, TX
  • NPI 1922088731

  Anatomic Pathology & Clinical Pathology

  NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0085PV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Texas Home Health Services LLC
• East Texas Medical Center Athens
• East Texas Medical Center Healthcare Associates
• East Texas Medical Center Home Services
• 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.

• All providers in Athens, TX
• Anatomic Pathology & Clinical Pathology Physician in Texas

• 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.

Verify at the official NPI Registry.