Mattison Pathology, L.L.P.
NPI 1093820763ActiveOrganization· Pathology, Anatomic Pathology & Clinical Pathology· Lubbock, TX
Pathology, Anatomic Pathology & Clinical Pathology in Lubbock, Texas, registered in NPPES in August 2006. The authorized official on file is Gregory M. Wolgamot, M.D., M.D.
Overview
| NPI | 1093820763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2006 |
| Last updated in NPPES | Dec 15, 2025 |
| Certified by provider | Dec 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | — | — |
| Pathology, Cytopathology | 207ZC0500X | — | — |
| Pathology, Clinical Pathology/Laboratory Medicine | 207ZP0105X | — | — |
| Clinical Medical Laboratory | 291U00000X | 45D1015603 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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