Organization
LEGACY PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY PIPP (CFO)
(800) 288-8325
Entity
Organization
Contact information
Practice address
3355 DOUGLAS RD, SOUTH BEND, IN 46635-1779
(574) 234-4176
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
06/21/2024
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