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Contact Information

MATTISON PATHOLOGY, L.L.P.
4642 N LOOP 289 STE 205
LUBBOCK, TX79416-2424
 Phone: 360-543-6836
 Fax: 971-402-0065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MATTISON PATHOLOGY LLP · (Female)

NPI # 1093820763
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2006
Last updated 12/15/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 45D1015603
  • AR Medicaid 177874709
  • NM Medicaid 72922010
  • TX Medicaid 1646044-01
  • TX Other 0075KP BLUE CROSS BLUE SHIELD
  • TX Other 45D1015603 CLIA
  • TX Other 45D1069527 CLIA
  • TX Other 7187034 COLLEGE OF AMERICAN PATHOLOGISTS
  • TX Other 7201511 COLLEGE OF AMERICAN PATHOLOGISTS
  • TX Other L166 FIRSTCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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