MATTISON PATHOLOGY, L.L.P.
NPI 1063619922
Pathology - Anatomic Pathology & Clinical Pathology in Dallas, TX

Q: What is Mattison Pathology, L.L.P.'s NPI number?

The NPI number for Mattison Pathology, L.L.P. is 1063619922. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is doing business as Avero Diagnostics.

Q: What is Mattison Pathology, L.L.P.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since July 02, 2007CLIA Certified · 2 labs

4245 N CENTRAL EXPY STE 420, DALLAS, TX 75205(866) 987-7284(469) 232-9927 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2025, Sep 8, 2025, Apr 24, 2024 and 6 more (9 updates tracked since 2022).

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About Mattison Pathology, L.l.p. NPPES

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

MATTISON PATHOLOGY, L.L.P. (NPI 1063619922), doing business as Avero Diagnostics, is a healthcare organization registered as an anatomic pathology & clinical pathology in Dallas, Texas and active in the NPI registry since July 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Lubbock, and lists Gregory M Wolgamot, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063619922

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameMATTISON PATHOLOGY, L.L.P.

Location Address4245 N CENTRAL EXPY STE 420Dallas, TX 75205-4566

Mailing Address3560 Meridian St Ste 101Bellingham, WA 98225-1731 · (360) 734-2800 · Fax (360) 734-0426

Phone(866) 987-7284

Fax(469) 232-9927

Organization SubpartNo

Authorized OfficialGregory M WolgamotMedical Director · (866) 987-7284

Enumeration DateJuly 2, 2007

Last NPPES UpdateDecember 15, 20259 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1063619922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

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.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

4245 N CENTRAL EXPY STE 420, Dallas, TX 75205

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Other Names 1

Doing Business AsAvero Diagnostics

Secondary Practice Location 1

Location 14642 N Loop 289 Ste 205Lubbock, TX 79416-2424 · Phone (866) 987-7284 · Fax (469) 232-9927

Other Identifiers 6

Other45D1065927TX · Clia

Other7187034TX · College Of American Pathologists

Other45D1015603TX · Clia

Other7201511TX · College Of American Pathologists

Other00Z224Medicare Ptan

Other45D1069527TX · Clia #

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 of Compliance 45D1015603

Mattison Pathology · Lubbock, TX

Active · expires May 8, 2027

CLIA Number45D1015603

Laboratory TypeIndependent

Certificate Effective DateMay 9, 2025

Certificate Expiration DateMay 8, 2027

Laboratory DirectorDr. Rodney W. Stuart

Laboratory Phone(360) 527-2800

Laboratory LocationMattison Pathology4642 N Loop 289 Suite 205, Lubbock, TX 79416

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 45D2114310

Mattison Pathology LLP · Dallas, TX

Active · expires May 30, 2027

CLIA Number45D2114310

Laboratory TypeIndependent

Certificate Effective DateMay 31, 2025

Certificate Expiration DateMay 30, 2027

Laboratory DirectorDr. Ryan R. Fortna

Laboratory Phone(360) 527-4580

Laboratory LocationMattison Pathology LLP4245 North Central Expressway Suite 420, Dallas, TX 75205

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

403 services61 patients

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution 87186

This process checks how well certain drugs, like antibiotics, can fight against infections. It involves mixing the drug with a microbe (like bacteria or a virus) in a lab. By observing how the microbe reacts, it helps determine the best drug to treat your infection.

112 services11 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

61 services60 patients

Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique 87486

This test checks for the presence of Chlamydia pneumoniae, a bacterium that can cause respiratory infections. It uses an amplified probe technique, which magnifies the bacterium's genetic material for easier detection. It's a standard, non-invasive procedure.

45 services44 patients

Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique 87541

A detection test for Legionella Pneumophila, a waterborne bacteria, uses the amplified probe technique. This involves identifying the bacteria's unique genetic material (nucleic acid) and amplifying it for easier detection, aiding in accurate diagnosis.

45 services44 patients

Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique 87581

This test checks for Mycoplasma pneumoniae, a bacteria that can cause lung infection. It uses a method called amplified probe technique, which identifies the bacteria's genetic material. This helps in diagnosing the infection accurately.

45 services44 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

45 services44 patients

Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets 87631

This test identifies different respiratory viruses by examining their nucleic acid, the building blocks of their genetic material. It can detect multiple types or subtypes, specifically 3-5 targets. This helps in diagnosing your respiratory illness accurately.

44 services43 patients

Detection test by nucleic acid for multiple organisms, amplified probe(s) technique 87801

This is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.

38 services13 patients

Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets 87506

This test identifies various pathogens in the digestive system by examining nucleic acids. It targets 6-11 different types or subtypes of these pathogens, helping to diagnose a range of potential illnesses.

26 services26 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

22 services19 patients

Bacterial urine culture 87088

A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.

20 services16 patients

Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen) 87324

This test checks for Clostridium difficile toxins in your stool. It uses an immunoassay technique, which identifies harmful substances that might cause illness. The test helps diagnose infections that can lead to severe diarrhea or more serious intestinal conditions.

16 services15 patients

Stool calprotectin (protein) level 83993

A stool calprotectin test measures the level of calprotectin, a protein that can indicate inflammation in the digestive tract. This test is often used to help determine if symptoms like abdominal pain or diarrhea are due to a condition like inflammatory bowel disease.

12 services11 patients

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Other Providers at the Same Location NPPES

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

MAGNOLIA DIAGNOSTICS, LLC

Clinical Medical Laboratory

4245 N CENTRAL EXPY STE 420
DALLAS, TX 75205

Dallas County (972) 707-9929

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 Mattison Pathology, L.L.P.'s NPI number?

The NPI number for Mattison Pathology, L.L.P. is 1063619922. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is doing business as Avero Diagnostics.

Where is Mattison Pathology, L.L.P. located?

Mattison Pathology, L.L.P. is located at 4245 N Central Expy Ste 420, Dallas, TX 75205. The listed phone number is (866) 987-7284.

What is Mattison Pathology, L.L.P.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Does Mattison Pathology, L.L.P. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mattison Pathology, L.L.P. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mattison Pathology, L.L.P. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mattison Pathology, L.L.P. was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

About Mattison Pathology, L.l.p. NPPES

NPPES Registry Identity

Specialties & Licenses 3

Other Names 1

Secondary Practice Location 1

Other Identifiers 6

Group Practice 1

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Certificate of Compliance · 45D1015603

Certificate of Accreditation · 45D2114310

Areas of Expertise CMS Part B claims 14

Other Providers at the Same Location NPPES

Frequently Asked Questions NPPES & CMS

What is Mattison Pathology, L.L.P.'s NPI number?

Where is Mattison Pathology, L.L.P. located?

What is Mattison Pathology, L.L.P.'s specialty?

Does Mattison Pathology, L.L.P. hold CLIA laboratory certificates?

What insurance does Mattison Pathology, L.L.P. accept?

When was this NPI record last updated?

Certificate of Compliance 45D1015603

Certificate of Accreditation 45D2114310