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Organization
CORPATH LTD
Active
Organization
CORPATH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D. BROWNELL MD (PRESIDENT)
(614) 566-4945
Entity
Organization
Contact information
Practice address
3535 OLENTANGY RIVER RD, RIVERSIDE METHODIST HOSP PATHOLOGY DEPT, COLUMBUS, OH 43214-3908
(614) 566-4945
(614) 263-1056
Mailing address
P O BOX 636042 DEPT 6042, CINCINNATI, OH 45263-0001
(614) 457-8180
(614) 442-2414
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046388
—
OH
01
—
CN6779
RR MEDICARE
OH
Enumeration date
08/30/2005
Last updated
06/10/2010
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