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DR. OWATHA LOYE TATUM PH.D., HCLD/CC(ABB)
NPI 1639517386
Pathology - Clinical Laboratory Director, Non-physician in Lubbock, TX

Active since June 04, 2013
3415 56TH ST, LUBBOCK, TX 79413(806) 797-2879 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Owatha Loye Tatum Ph.d., Hcld/cc(abb) NPPES

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

DR. OWATHA LOYE TATUM PH.D., HCLD/CC(ABB) (NPI 1639517386) is an individual clinical laboratory director, non-physician in Lubbock, Texas, licensed in Florida (DI43809) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1639517386
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameDR. OWATHA LOYE TATUMCredential: PH.D., HCLD/CC(ABB)
Location Address3415 56TH STLubbock, TX 79413-4745
Mailing Address3415 56th StLubbock, TX 79413-4745
Phone(806) 797-2879
Sole ProprietorYes
Enumeration DateJune 4, 2013
Last NPPES UpdateJune 22, 2015
✔ NPI 1639517386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
License✔ Licensed in FL · DI43809
Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Also ListedSpecialist/Technologist, Other · Geneticist, Medical (PhD)Taxonomy 246ZG1000X · License TATU01 (NY)
3415 56TH ST, Lubbock, TX 79413
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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 Owatha Tatum's NPI number?

The NPI number for Owatha Tatum is 1639517386. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Owatha Tatum located?

Owatha Tatum practices at 3415 56th St, Lubbock, TX 79413. The listed phone number is (806) 797-2879.

What is Owatha Tatum's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Owatha Tatum was last updated on June 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.