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
Phone: (866) 987-7284
Fax: (469) 232-9927
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | ||
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ||
Laboratories / Clinical Medical Laboratory | 291U00000X |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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