Ameripath Lubbock 5.01(a) Corporation

NPI #1023102043 in Lubbock, Texas

Provider Information

NPI Number: 1023102043
Entity Type: Organization
Organization Name: Ameripath Lubbock 5.01(a) Corporation
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4920 S LOOP 289
Address 2: SUITE 101
City: Lubbock
State: Texas
ZIP Code: 79414-4797
Phone: (806) 744-1887

Authorized Official

Name: MR. STEPHEN DILLEMUTH
Title: ASST. TREASURY
Phone: (561) 712-6242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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