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Organization

AMERIPATH MISSISSIPPI INC

Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERIPATH INC.
Authorized official
MR. EDWARD M KRAMER (VICE PRESIDENT)
(610) 550-3000
Entity
Organization

Contact information

Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 932-8370
Mailing address
7111 FAIRWAY DRIVE, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(561) 712-6200
(561) 712-7349

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25D0985448
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25D0887855
CLIA
MS
01
25D1040635
CLIA
MS
05
9011140
MS
Enumeration date
11/24/2006
Last updated
09/19/2011
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