Organization · Type 2 NPI

Collom & Carney Clinic Association

Clinical Medical Laboratory · Texarkana, TX

NPI number 1164405296 Active

Practice location

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766

Fax (903) 614-3525

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	45D0659663 (TX)

Clinical Medical Laboratory: (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1164405296
Entity type: Organization (Type 2)
Issued: Nov 22, 2005
Last updated: May 1, 2026
Status: Active
Subpart: Yes of Collom & Carney Clinic Association

Other names

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Collom & Carney Clinic Laboratory · other name
Collom & Carney Clinic Laboratory · other name

Authorized official

Dana Robyn Morton
Director Contracting Credentialing
(903) 614-3283

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164405296

Collom & Carney Clinic Association's National Provider Identifier is 1164405296, issued on Nov 22, 2005. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Texarkana, TX. The record was last updated on May 1, 2026.