AMERIPATH LUBBOCK 5.01(A) CORPORATION (NPI# 1962508267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962508267 |
| Entity Type | Organization |
| Organization Name | AMERIPATH LUBBOCK 5.01(A) CORPORATION |
| Practice Address |
800 West Randol Mill Road Arlington TX 76012-2504 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 8174604366 |
| Practice Fax Number | 8174697563 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | EDWARD M KRAMER (VICE PRESIDENT) |
| Authorized Official Telephone | 6105503003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIPATH INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
45D0484474 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 141594501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 W Interstate 20, Arlington, TX 760175851 | 8174723400 | 8174697563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023102043 | Ameripath Lubbock 5.01(a) Corporation | Pathology | 4920 S Loop 289, Suite 101, Lubbock, TX 79414-4797 | 2006-10-03 |
| 1437209582 | Ameripath Lubbock 5.01(a) Corporation | Clinical Medical Laboratory | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2007-01-11 |
| 1447324025 | Ameripath Lubbock 5.01(a) Corporation | Clinical Medical Laboratory | 800 W Randol Mill Rd, 3rd Floor, Arlington, TX 76012-2504 | 2006-11-17 |
| 1700860434 | Ameripath Lubbock 5.01(a) Corporation | Pathology | 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 | 2005-12-06 |
| Street Address |
800 WEST RANDOL MILL ROAD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917695 | Julius M Gilbert | Pathology | 801 W Interstate 20, Arlington, TX 76017-5851 | 2006-01-20 |
| 1790765816 | J Trace Worrell | Pathology | 800 W Randol Mill Rd Fl 3, Arlington, TX 76012-2504 | 2006-01-17 |
| 1427567478 | Cary Poropatich Md LLC | Pathology | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2017-09-21 |
| 1346538139 | Christopher Walden Jones | Pathology | 3301 Matlock Rd, Arlington, TX 76015 | 2011-07-14 |
| 1568780575 | Alicia Marie Schnebelen | Pathology | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2010-05-14 |
| 1992932099 | Napa 501a Corporation | Pathology | 908 Wright St, Arlington, TX 76012-4730 | 2009-06-16 |
| 1851507263 | Kathryn Jockovic Villa | Pathology | 1625 N George Mason Dr, Pathology Dept, Arlington, VA 22205-3683 | 2007-05-15 |
| 1205951928 | William F Enos Md, Pllc | Pathology | 601 S Carlin Springs Rd, Arlington, Arlington, VA 22204-1023 | 2007-03-20 |
| 1124162482 | Whitney Anne Lachar | Pathology | 800 W Randol Mill Rd Fl 3, Arlington, TX 76012-2504 | 2007-02-19 |
| 1992845846 | Ann Kathleen Fulenwider | Pathology | 1625 N George Mason Dr, Arlington, VA 22205-3683 | 2007-02-08 |
| Find all providers in ARLINGTON | ||||
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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.