Collom & Carney Clinic Laboratory

LBN: Collom & Carney Clinic
Collom & Carney Clinic Laboratory is an health care organization with primary practice located at 5002 Cowhorn Creek Rd , Texarkana TX 75503-9766. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Collom & Carney Clinic can be contacted via phone (903) 614-3000, or through Dwight, Mary E via phone (903) 614-3282.

Contact Information

Primary practice address
5002 Cowhorn Creek Rd Texarkana TX 75503-9766
Fax: (903) 614-3525
Website:
Authorized official contact:
Name: Dwight, Mary E CCS-P, MHA, CMPE

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 45D0659663 Texas

Profile Details

NPI number 1164405296
LBN Legal business name Collom & Carney Clinic
DBA Doing business as Collom & Carney Clinic Laboratory
Authorized official Dwight, Mary E CCS-P, MHA, CMPE
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Feb 24th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164405296 NPPES
Texas Other CU0435 RAILROAD MEDICARE
Texas MEDICAID 143671709 RAILROAD MEDICARE
Texas MEDICAID 095197201 RAILROAD MEDICARE

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