P Praxis·MD
● Active Type 2 · Organization

Mattison Pathology, L.l.p.

Pathology·Lubbock, TX· NPI 1093820763 · Enumerated 2006 · 19 years on NPI
Mattison Pathology, L.l.p. is 1 of 1597 pathology organizations in Texas.
NPI age
19 years
Enumerated 2006-08-20
Primary specialty
Pathology
Plus 3 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Wolgamot
M.D.
Last NPPES update
2025-12-15
Source: monthly bulk 2026-05

How this organization compares

Across 1597 active pathology providers in Texas.

NPI age
19 years
≈ at median (19 yr)
Practice locations
2
1 secondary on file
Subspecialties
3
In the 37% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
4642 N Loop 289 Ste 205
Lubbock, TX 794162424
📞 3605436836fax 9714020065
Mailing address
3560 Meridian St Ste 101
Bellingham, WA 982251731
📞 3607342800fax 3607340426

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4245 N Central Expy Ste 420
Dallas, TX 752054566
📞 2053566790

Authorized official

Gregory M Wolgamot, M.D.
M.D.
📞 8066877284

Individual providers at this organization

3 individual providers on file at this primary practice address.

  • John Lowe, MPT, MAT, LAT, ATC Specialist/Technologist NPI 1093912313
  • Madhu Polimeru Physical Therapist NPI 1174954713
  • Janice Rowe, PTA Physical Therapy Assistant NPI 1316463425

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...
    TX license #45D1015603 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
  • 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...
    taxonomy 207ZP0105X

Identifiers

TypeValueNotes
05 (AR) 177874709
01 (TX) 45D1069527 CLIA
01 (TX) L166 FIRSTCARE
01 (TX) 45D1015603 CLIA
05 (NM) 72922010
01 (TX) 7187034 COLLEGE OF AMERICAN PATHOLOGISTS
01 (TX) 7201511 COLLEGE OF AMERICAN PATHOLOGISTS
01 (TX) 0075KP BLUE CROSS BLUE SHIELD
05 (TX) 1646044-01

Other names on file (2)

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

  • Avero Diagnostics
    Type code 3 recorded 2022-06-22
  • Avero Diagnostics
    Type code 3 recorded 2012-03-29

Practice context

Multi-provider organization. 3 individual providers on file at this primary address. Plus 1 secondary practice location.

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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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