# BLUEGRASS PATHOLOGY ASSOCIATES PSC

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

## Provider details

- **NPI number:** 1750402004
- **Authorized official:** DR. EDWARD J TANOUS JR. MD (PRESIDENT)
- **Authorized official phone:** (859) 745-3500

## Contact information

- **Practice address:** 175 HOSPITAL DRIVE, WINCHESTER, KY 40391-1169
- **Practice address phone:** (859) 745-3500
- **Practice address fax:** (859) 737-8350
- **Mailing address:** 3529 SOLUTIONS CENTER, CHICAGO, IL 60677-3005
- **Mailing address phone:** (800) 288-8325
- **Mailing address fax:** (419) 866-5453

## 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:** 04/03/2007
- **Last updated:** 09/25/2012