Organization
AMERIPATH MILWAUKEE SC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER (VP)
(610) 550-3000
Entity
Organization
Contact information
Practice address
12805 W BURLEIGH RD, SUITE 200, BROOKFIELD, WI 53005-3111
(414) 732-2577
(414) 476-2975
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124160601
—
WI
01
—
52D1105971
CLIA
WI
Enumeration date
02/13/2007
Last updated
05/02/2014
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