Organization
INTERVENTIONAL PATHOLOGY OF OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MCCALIP MD (OWNER)
(937) 825-0274
Entity
Organization
Contact information
Practice address
580 LINCOLN PARK BLVD, 344, KETTERING, OH 45429-3474
(937) 825-0274
Mailing address
9834 BUSINESS WAY, MANASSAS, VA 20110-4151
(703) 257-1440
(703) 257-4337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.089844
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2775804
—
OH
Enumeration date
02/10/2016
Last updated
02/10/2016
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