1942223029 NPI number — METROPLEX PATHOLOGY ASSOCIATES

Table of content: (NPI 1942223029)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942223029 NPI number — METROPLEX PATHOLOGY ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
METROPLEX PATHOLOGY ASSOCIATES
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:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942223029
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1111 S FREEPORT PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COPPELL
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75019-4435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-588-3280
Provider Business Mailing Address Fax Number:
972-767-0225

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1111 S FREEPORT PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COPPELL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75019-4435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-979-8292
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
XIE
Authorized Official First Name:
JIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
AUTHORIZED SIGNER
Authorized Official Telephone Number:
626-350-0537

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)

  • Identifier: 012407800 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com