# METHODIST HOSPITALS PATHOLOGY LLC

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

## Provider details

- **NPI number:** 1740250075
- **Authorized official:** IAN E MCFADDEN (PRESIDENT/CEO)
- **Authorized official phone:** (219) 886-4171

## Contact information

- **Practice address:** 600 GRANT ST, GARY, IN 46402-6001
- **Practice address phone:** (219) 886-4573
- **Mailing address:** PO BOX 660267, INDIANAPOLIS, IN 46266-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 02/06/2009