1649479213 NPI number — NORTH TEXAS PATHOLOGY LABORATORIES LLC

Table of content: DR. GREGG JOSEPH MONTALTO M.D. (NPI 1710073416)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649479213 NPI number — NORTH TEXAS PATHOLOGY LABORATORIES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH TEXAS PATHOLOGY LABORATORIES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
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NPI Number Information

NPI Number:
1649479213
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 226
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROWLETT
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75030-0226
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-526-0340
Provider Business Mailing Address Fax Number:
972-996-1857

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7501 LAKEVIEW PKWY STE 160
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROWLETT
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75088-9327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-526-0340
Provider Business Practice Location Address Fax Number:
972-996-1857
Provider Enumeration Date:
07/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SNYDER
Authorized Official First Name:
KIM
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF BILLING
Authorized Official Telephone Number:
972-526-0347

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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