Organization
AMERIPATH TUCSON INC
Active
Organization
AMERIPATH TUCSON INC
Active
Parent organization
AMERIPATH INC.
Other names
Ameripath Arizona
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
EDWARD MICHAEL KRAMER MD (VICE PRESIDENT)
(610) 550-3003
Entity
Organization
Contact information
Practice address
7227 N 16TH STREET, 150A, PHOENIX, AZ 85020-5251
(602) 441-2042
(602) 441-2034
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
03D1033449
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
02/06/2006
Last updated
10/19/2017
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