P Praxis·MD
● Active Type 2 · Organization

Mattison Pathology, L.l.p.

Pathology·Dallas, TX· NPI 1063619922 · Enumerated 2007 · 18 years on NPI
Mattison Pathology, L.l.p. is 1 of 1597 pathology organizations in Texas.
NPI age
18 years
Enumerated 2007-07-02
Primary specialty
Pathology
Plus 2 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Wolgamot
Medical Director
Last NPPES update
2025-12-15
Source: monthly bulk 2026-05

How this organization compares

Across 1597 active pathology providers in Texas.

NPI age
18 years
≈ at median (19 yr)
Practice locations
2
1 secondary on file
Subspecialties
2
In the 37% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
4245 N Central Expy Ste 420
Dallas, TX 752054566
📞 8669877284fax 4692329927
Mailing address
3560 Meridian St Ste 101
Bellingham, WA 982251731
📞 3607342800fax 3607340426

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4642 N Loop 289 Ste 205
Lubbock, TX 794162424
📞 8669877284fax 4692329927

Authorized official

Gregory M Wolgamot, M.D., PH.D.
Medical Director
📞 8669877284

Specialties

  • Pathology Primary
    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...
    taxonomy 207ZP0102X
  • Clinical Medical Laboratory
    (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
    taxonomy 291U00000X
  • Pathology
    A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the...
    taxonomy 207ZC0500X

Identifiers

TypeValueNotes
01 (TX) 45D1065927 CLIA
01 (TX) 7187034 COLLEGE OF AMERICAN PATHOLOGISTS
01 (TX) 45D1015603 CLIA
01 (TX) 7201511 COLLEGE OF AMERICAN PATHOLOGISTS
01 00Z224 MEDICARE PTAN
01 (TX) 45D1069527 CLIA #

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Avero Diagnostics
    Type code 3 recorded 2012-03-29

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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