AMERIPATH LUBBOCK 5.01(A) CORPORATION — NPI 1700860434 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology in FORT WORTH, TX)

CMS-1500 Box 24J / 33a • NPI

1700860434

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207ZP0102X (CMS 22)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology

Box 32 Service Location & ZIP+4

1401 PENNSYLVANIA AVE, FORT WORTH, TX, 76104-2113

✓ 9-Digit EDI 837 ZIP+4 (76104-2113)

Practice Phone & Referral Fax

(713) 432-1100

Fax: (713) 432-0221

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700860434 (AMERIPATH LUBBOCK 5.01(A) CORPORATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700860434` (NPI-2 Organization / Facility)
Provider / Legal Name	AMERIPATH LUBBOCK 5.01(A) CORPORATION
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology NUCC Code: `207ZP0102X` (Pathology, Anatomic Pathology & Clinical Pathology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1401 PENNSYLVANIA AVE, FORT WORTH, TX, 76104-2113
Practice Telephone / Fax	Tel: (713) 432-1100 \| Fax: (713) 432-0221
Administrative Mailing Address	4770 REGENT BLVD, IRVING, TX, 75063-2445
Enumeration & Last Sync	Enumerated: 2005-12-06 \| CMS Record Updated: 2026-08-03
Authorized Official	DARREN WHEELER (Vice President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1401 PENNSYLVANIA AVE, FORT WORTH, TX, 76104-2113

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Plain-English Taxonomy & CMS Crosswalk (207ZP0102X)

What Does Taxonomy Code 207ZP0102X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ZP0102X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 22 (Physician/Pathology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pathology, Anatomic Pathology & Clinical Pathology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMERIPATH LUBBOCK 5.01(A) CORPORATION)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207ZP0102X` — Pathology, Anatomic Pathology & Clinical Pathology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology	State: TX \| License: `45D0701182` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMERIPATH LUBBOCK 5.01(A) CORPORATION (NPI #1700860434)