Healthcare Provider Details

I. General information

NPI: 1841261344
Provider Name (Legal Business Name): ARLINGTON PATHOLOGY ASSOCIATION 501A CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 04/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 WRIGHT ST
ARLINGTON TX
76012-4730
US

IV. Provider business mailing address

14275 MIDWAY RD SUITE 400
ADDISON TX
75001-3614
US

V. Phone/Fax

Practice location:
  • Phone: 817-460-4366
  • Fax: 817-469-7563
Mailing address:
  • Phone: 214-932-8029
  • Fax: 610-271-4245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number45D0484493
License Number StateTX

VIII. Authorized Official

Name: DR. EDWARD M KRAMER
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 610-550-3000