Organization
TULSA DIAGNOSTICS PC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER MD (VICE PRESIDENT)
(610) 550-3000
Entity
Organization
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 749-7964
(918) 584-0156
Mailing address
7111 FAIRWAY DR, 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
37D0473552
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747900A
—
OK
Enumeration date
02/02/2006
Last updated
09/07/2011
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