Organization
DERMATOPATHOLOGY SERVICES INC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER M.D. (VICE PRESIDENT)
(610) 550-3000
Entity
Organization
Contact information
Practice address
3918 MONTCLAIR RD, SUITE 100, BIRMINGHAM, AL 35213-2417
(205) 870-4897
(205) 871-4709
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
01D0641513
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000056306
—
AL
05
—
03884230
—
MS
05
—
1015385
—
LA
05
—
1507087
—
TN
05
—
547254876A
—
GA
01
—
56306
BCBS
AL
05
—
7001200
—
NC
Enumeration date
02/06/2006
Last updated
04/24/2015
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