Avero Diagnostics

LBN: Mattison Pathology, L.L.P.
Avero Diagnostics is an health care organization with primary practice located at 4245 N Central Expy Ste 420 , Dallas TX 75205-4566. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Mattison Pathology, L.L.P. can be contacted via phone (866) 987-7284, or through Wolgamot, Gregory M via phone (866) 987-7284.

Contact Information

Primary practice address
4245 N Central Expy Ste 420 Dallas TX 75205-4566
Fax: (469) 232-9927
Website:
Authorized official contact:
Name: Wolgamot, Gregory M M.D., PH.D.

Profile Details

NPI number 1063619922
LBN Legal business name Mattison Pathology, L.L.P.
DBA Doing business as Avero Diagnostics
Authorized official Wolgamot, Gregory M M.D., PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Apr 24th, 2024 - 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 1063619922 NPPES
Texas Other 45D1065927 CLIA
Texas Other 7187034 CLIA
Texas Other 45D1015603 CLIA
Texas Other 7201511 CLIA
Texas Other 00Z224 CLIA
Texas Other 45D1069527 CLIA

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