# EAST LOUISVILLE PATHOLOGISTS PSC

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

## Provider details

- **NPI number:** 1982630158
- **Authorized official:** DR. TIMOTHY H MATTHEWS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (502) 897-8226

## Contact information

- **Practice address:** 4000 KRESGE WAY, PATHOLOGY DEPT, LOUISVILLE, KY 40207-4605
- **Practice address phone:** (502) 897-8226
- **Practice address fax:** (502) 897-8215
- **Mailing address:** 1169 EASTERN PKWY, SUITE G 71, LOUISVILLE, KY 40217-1417
- **Mailing address phone:** (502) 456-6217
- **Mailing address fax:** (502) 456-4440

## Taxonomy

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

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 09/12/2011