Organization
AMERIPATH NEW YORK LLC
Active
Parent organization
AMERIPATH INC.
Other names
AmeriPath Northeast
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DARREN THOMAS WHEELER (VICE PRESIDENT)
(702) 733-7866
Entity
Organization
Contact information
Practice address
1 GREENWICH PL, SHELTON, CT 06484-4618
(866) 436-9631
(203) 447-8666
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
07D1035411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004250130
—
CT
05
—
0093254
—
NJ
05
—
015532634A
—
GA
05
—
100771649003
—
PA
05
—
176325201
—
TX
05
—
200279840A
—
OK
05
—
22339752
—
CO
05
—
2643769
—
OH
05
—
3810005215
—
WV
05
—
412163500
—
MD
05
—
7001262
—
NC
05
—
L00237
—
SC
Enumeration date
02/06/2006
Last updated
09/05/2024
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