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Organization
ST LUKES PATHOLOGY ASSOCIATES PA
Active
Organization
ST LUKES PATHOLOGY ASSOCIATES PA
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
MR. MICHAEL H GREENE (VP)
(214) 932-8270
Entity
Organization
Contact information
Practice address
12300 METCALF AVE, OVERLAND PARK, KS 66213-1324
(816) 932-3241
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(561) 712-6265
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17D1034613
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285797571
—
MO
05
—
501949507A
—
KS
Enumeration date
12/18/2006
Last updated
12/12/2008
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