National Provider Identifier Database

MATTISON PATHOLOGY LLP
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


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
* Anatomic Pathology & Clinical Pathology 207ZP0102X
Clinical Medical Laboratory 291U00000X
Clinical Pathology/Laboratory Medicine 207ZP0105X
Cytopathology 207ZC0500X

* Indicates primary specialty

NPI Profile & details for MATTISON PATHOLOGY, L.L.P.

NPI Number 1093820763
Legal business name
LBN
MATTISON PATHOLOGY, L.L.P.
Authorized official GREGORY WOLGAMOT - (M.D.)
Entity Organization
Organization subpart No
Enumeration date 08/20/2006
Last updated 12/15/2025 - About 6 months ago
Sole proprietor1 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

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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