Organization
AMERIPATH INSTITUTE OF UROLOGICAL PATHOLOGY PC
Active
Organization
AMERIPATH INSTITUTE OF UROLOGICAL PATHOLOGY PC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
MR. MICHEL H GREENE (VP)
(214) 932-8270
Entity
Organization
Contact information
Practice address
27472 SCHOENHERR RD, SUITE 100, WARREN, MI 48088-6688
(586) 774-5819
(586) 774-5869
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(561) 712-6265
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1024436
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01779
BC/BS OF MICHIGAN
MI
05
—
4727299
—
MI
05
—
L00236
—
SC
Enumeration date
02/03/2006
Last updated
03/19/2012
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