Organization
KOKOMO PATHOLOGIST ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE W HUGHES M.D. (DIRECTOR OF LABORATORY)
(765) 456-5729
Entity
Organization
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-4113
(765) 456-5729
(765) 456-5014
Mailing address
PO BOX 6908, KOKOMO, IN 46904-6908
(314) 821-8055
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003339
MPLAN
IN
01
—
000000083512
BCBS
IN
01
—
CB2274
TRAVELERS
IN
01
—
IN0006461
TRICARE
IN
Enumeration date
12/01/2005
Last updated
08/22/2020
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