Organization
SUMMIT PATHOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A HENTHORNE M.D. (PRESIDENT)
(330) 375-3786
Entity
Organization
Contact information
Practice address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 615-3966
(330) 615-3985
Mailing address
30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5035
(440) 716-8608
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026437100
FEDERAL BLACK LUNG
—
01
—
127732600
UNITED DEPARTMENT OF LABOR
—
05
—
2882680
—
OH
01
—
8463565
AETNA
—
Enumeration date
10/29/2008
Last updated
06/04/2014
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