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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