Collom & Carney Clinic in Texarkana - Clinical Medical Laboratory
Collom & Carney Clinic - NPI 1164405296
Collom & Carney Clinic is a Clinical Medical Laboratory in Texarkana, Texas. Collom & Carney Clinic practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Collom & Carney Clinic is 1164405296. The last update date is 2023-02-24.
Collom & Carney Clinic's current location address is 5002 Cowhorn Creek Rd, Texarkana, Texas. You can contact this provider via phone number 9036143000 and fax number 9036143525. The mailing address for Collom & Carney Clinic is 5002 Cowhorn Creek Rd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Collom & Carney Clinic |
|---|---|
| Address | 5002 Cowhorn Creek Rd, Texarkana, Texas |
| Phone Number | 9036143000 |
| Fax Number | 9036143525 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Dwight E Mary |
| Credentials | CCS-P, MHA |
| Telephone Number | 9036143282 |
NPI Number Detail
| NPI Number | 1164405296 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2023-02-24 |
Provider Mailing Address Detail
| Address | 5002 Cowhorn Creek Rd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755039766 |
| Phone Number | 9036143000 |
| Fax Number | 9036143525 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 45D0659663 |
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Definition: (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 body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CU0435 | TX | RAILROAD MEDICARE | |
| 143671709 | AR | -- | |
| 95197201 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Collom & Carney Clinic by the Centers for Medicare & Medicaid Services?
The Collom & Carney Clinic has been issued the NPI (National Provider Identifier) 1164405296. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Collom & Carney Clinic?
The Collom & Carney Clinic is physically situated at 5002 Cowhorn Creek Rd, in the city of Texarkana, state of TX, with the postal code 755039766.
What is Collom & Carney Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Collom & Carney Clinic is Clinical Medical Laboratory, and the taxonomy code that classifies this field of practice is 291U00000X.
On what date did Collom & Carney Clinic receive its 1164405296 assignment from the Centers for Medicare & Medicaid Services?
The Collom & Carney Clinic was assigned its 1164405296 on 2005-11-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Collom & Carney Clinic most recently updated?
The details pertaining to the Collom & Carney Clinic, including its address, specialty, and other relevant information, were last refreshed on 2023-02-24.
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