Avero Diagnostics

LBN: Mattison Pathology, L.L.P.
Avero Diagnostics is an health care organization with primary practice located at 4642 N Loop 289 Ste 205 , Lubbock TX 79416-2424. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, 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 (360) 543-6836, or through Wolgamot, Gregory M via phone (806) 687-7284.

Contact Information

Primary practice address
4642 N Loop 289 Ste 205 Lubbock TX 79416-2424
Phone: (360) 543-6836
Fax: (971) 402-0065
Website:
Map and Directions
Authorized official contact:
Name: Wolgamot, Gregory M Doctor of Medicine (MD)
Phone: (806) 687-7284

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X
Laboratories / Clinical Medical Laboratory 291U00000X 45D1015603 Texas

Profile Details

NPI number 1093820763
LBN Legal business name Mattison Pathology, L.L.P.
DBA Doing business as Avero Diagnostics
Authorized official Wolgamot, Gregory M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Apr 4th, 2024 - about 5 months ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093820763 NPPES
Arkansas MEDICAID 177874709
Arkansas Other 45D1069527
Arkansas Other L166
Arkansas Other 45D1015603
Arkansas MEDICAID 72922010
Arkansas Other 7187034
Arkansas Other 7201511
Arkansas Other 0075KP
Arkansas MEDICAID 1646044-01

Popular Providers