# COMMUNITY PATHOLOGY & NUCLEAR MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356346530
- **Authorized official:** BOGUSLAW I UCHMAN M.D. (PRESIDENT)
- **Authorized official phone:** (765) 298-5172

## Contact information

- **Practice address:** 1515 N MADISON AVE, ANDERSON, IN 46011-3453
- **Practice address phone:** (765) 298-5172
- **Mailing address:** PO BOX 563, ANDERSON, IN 46015-0563
- **Mailing address phone:** (765) 640-1307
- **Mailing address fax:** (765) 640-1376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 01027944A | IN | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 03/10/2014