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UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
NPI 1003001173
Pathology - Clinical Pathology/Laboratory Medicine in Fort Worth, TX

Active since September 11, 2007CLIA 45D0923854 · Microscopy
855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 735-2000 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Of North Texas Health Science Center Of Fort Worth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH (NPI 1003001173) is a healthcare organization registered as a clinical pathology/laboratory medicine in Fort Worth, Texas and active in the NPI registry since September 2007. The organization holds a CLIA Microscopy certificate valid through April 10, 2027 and lists Leslie Henderson, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1003001173
Entity TypeOrganization
Primary Taxonomy207ZP0105X
Legal Business NameUNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
Location Address855 MONTGOMERY STFort Worth, TX 76107
Mailing Address3500 Camp Bowie BlvdFort Worth, TX 76107-2644 · (817) 735-2000
Phone(817) 735-2000
Organization SubpartNo
Authorized OfficialLeslie HendersonRevenue Cycle Director · (817) 735-2008
Enumeration DateSeptember 11, 2007
Last NPPES UpdateJune 6, 2018
✔ NPI 1003001173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
Definition
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 information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
855 MONTGOMERY ST, Fort Worth, TX 76107
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Other Identifiers 1

Medicaid138980112TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0923854

University Of North Texas Health Science Center · Fort Worth, TX
Active · expires Apr 10, 2027
CLIA Number45D0923854
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorJanice Knebl
Laboratory Phone(817) 735-0264
Laboratory LocationUniversity Of North Texas Health Science Center855 Montgomery Street Health Pavilion, Fort Worth, TX 76107
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Family Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
DR. MICHAEL DAVID CARLETTI D.O.
Dermatology
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-0278
PREMA MANJUNATH MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 927-3638
JOSE RAMON SILVAS MD
Psychiatry & Neurology (Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 927-3638
KENDI HENSEL DO
Neuromusculoskeletal Medicine & OMM
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2235
CHRIS CHIU
Student in an Organized Health Care Education/Training Program
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2228
CHRYSTYNA KAULBACH SENKEL PA
Physician Assistant
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2122
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Internal Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of North Texas Health Science Center Of Fort Worth's NPI number?

The NPI number for University Of North Texas Health Science Center Of Fort Worth is 1003001173. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is University Of North Texas Health Science Center Of Fort Worth located?

University Of North Texas Health Science Center Of Fort Worth is located at 855 Montgomery St, Fort Worth, TX 76107. The listed phone number is (817) 735-2000.

What is University Of North Texas Health Science Center Of Fort Worth's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Does University Of North Texas Health Science Center Of Fort Worth hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0923854) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Of North Texas Health Science Center Of Fort Worth was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.