AMERIPATH LUBBOCK 501A CORPORATION (NPI# 1801033683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801033683 |
| Entity Type | Organization |
| Organization Name | AMERIPATH LUBBOCK 501A CORPORATION |
| Practice Address |
117 E 19th St Roswell NM 88201-5151 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 5756277000 |
| Practice Fax Number | 5756277007 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2015-04-24 |
| NPI Deactivation Date | 02/01/2011 |
| NPI Reactivation Date | 2011-09-20 |
| Authorized Official Name | DR. EDWARD M KRAMER (VP) |
| Authorized Official Telephone | 6105503000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIPATH INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 07231083 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184788630 | Ameripath Lubbock 501a Corporation | Clinical Medical Laboratory | 3615 19th St, Lubbock, TX 79410-1203 | 2006-12-20 |
| 1134190705 | Ameripath Lubbock 501a Corporation | Pathology | 3615 19th St, Lubbock, TX 79410-1203 | 2006-01-31 |
| Street Address |
117 E 19TH ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003884859 | Mark David Murley | Nurse Anesthetist, Certified Registered | 117 E 19th St, Roswell, NM 88201-5151 | 2006-03-09 |
| 1568018935 | Zebastian Garcia | Physical Therapy Assistant | 117 E 19th St, Roswell, NM 88201-5151 | 2019-08-12 |
| 1972022838 | Shayla Haynes | Physical Therapist | 117 E 19th St, Roswell, NM 88201-5151 | 2017-09-12 |
| 1477072346 | Erin Olivia Brannan | Physical Medicine & Rehabilitation | 117 E 19th St, Roswell, NM 88201-5151 | 2017-09-12 |
| 1629595079 | Ronald Scott Awtry IIi | Nurse Anesthetist, Certified Registered | 117 E 19th St, Roswell, NM 88201-5151 | 2017-08-26 |
| 1770005282 | Eileen C Lewis | Dietitian, Registered | 117 E 19th St, Roswell, NM 88201-5151 | 2017-07-17 |
| 1083142830 | Clinical Colleagues Inc | Anesthesiology | 117 E 19th St, Roswell, NM 88201-5151 | 2017-05-24 |
| 1063953768 | Sheridan Childrens Healthcare Services of New Mexico Inc | Pediatrics | 117 E 19th St, Roswell, NM 88201-5151 | 2017-03-14 |
| 1174956767 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2013-08-19 |
| 1275870867 | Albuquerque New Mexico Physicians, LLC | Emergency Medicine | 117 E 19th St, Roswell, NM 88201-5151 | 2013-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1689945800 | Cpm Labs, LLC | Clinical Medical Laboratory | 1295 Hembree Road, Suite 105-a, Roswell, GA 30076-5721 | 2012-01-19 |
| 1649583477 | Aidmed Inc | Clinical Medical Laboratory | 600 N Richardson Ave, Roswell, NM 88201-4828 | 2010-07-21 |
| 1023151966 | Rio Pecos Medical Associates Ltd | Clinical Medical Laboratory | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2007-02-14 |
| 1952473266 | C-b Laboratory Inc | Clinical Medical Laboratory | 313 W Country Club Rd, Ste 8, Roswell, NM 88201-5804 | 2006-11-14 |
| 1881632545 | Pecos Valley Sleep Center LLC | Clinical Medical Laboratory | 110 W Country Club Rd, Suite 3, Roswell, NM 88201-0618 | 2006-06-03 |
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| 1669858700 | Nex Step, Inc. | Clinical Medical Laboratory | 518 Old Santa Fe Trl, Suite 1, Pmb 220, Santa Fe, NM 87505-0398 | 2015-07-30 |
| 1225424567 | Recovery Services of New Mexico | Clinical Medical Laboratory | 5659 Jefferson St Ne, Suite E, Albuquerque, NM 87109-3458 | 2015-04-14 |
| 1255725339 | Ann Owens Tafoya | Clinical Medical Laboratory | 1301 Kentucky St Se, Albuquerque, NM 87108-5108 | 2015-03-26 |
| 1740615855 | Elizabeth Amanda Stenger | Clinical Medical Laboratory | 10444 Calle Avila Nw, Albuquerque, NM 87114-1804 | 2013-09-08 |
| 1821381773 | Alethea Laboratories Inc | Clinical Medical Laboratory | 410 E. Foster Road, Las Cruces, NM 88005-3209 | 2011-05-25 |
| 1083946222 | Metwest Inc | Clinical Medical Laboratory | 1121 Mall Dr, Las Cruces, NM 88011-8102 | 2010-02-12 |
| 1467783753 | Matrix Genomics, Inc. | Clinical Medical Laboratory | 3900 Paseo Del Sol, Santa Fe, NM 87507-4072 | 2010-01-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.