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Organization
AMERIPATH CONSULTING PATHOLOGY SERVICES PA
Active
Organization
AMERIPATH CONSULTING PATHOLOGY SERVICES PA
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER (VICE PRESIDENT)
(610) 550-3000
Entity
Organization
Contact information
Practice address
125 BUENA VISTA CIRCLE, PATHOLOGY DEPT., SOUTH HILL, VA 23970
(434) 447-3151
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(561) 712-6200
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
49D0927265
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015MV
BCBS
VA
05
—
1730388315
—
VA
01
—
49D0927265
CLIA
VA
Enumeration date
07/13/2007
Last updated
10/07/2011
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