Organization
LOUISVILLE PATHOLOGY ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A TISONE MD (LABORATORY MEDICAL DIRECTOR)
(502) 456-6212
Entity
Organization
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, PATHOLOGY DEPT, LOUISVILLE, KY 40202-1818
(502) 456-6212
(502) 456-4440
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
KY
207ZC0500X
Cytopathology Physician
—
KY
207ZH0000X
Hematology (Pathology) Physician
—
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000058947
ANTHEM BLUE CROSS BS
KY
01
—
0781049-01
MEDICAID TEXAS
TX
01
—
0956501
CIGNA HEALTHCARE
—
01
—
100009590A
MEDICAID INDIANA
IN
01
—
1050655
PASSPORT MEDICAID
KY
01
—
1100338
UNITED HEALTHCARE
—
01
—
1301279
UNITED MINE WORKERS
—
01
—
144621
WORKERS COMP NEVADA
NV
01
—
163417200
WORKERS COMP FLORIDA
FL
01
—
206644601
MEDICAID MISSOURI
MO
01
—
290445
BLACK LUNG PROGRAM
—
01
—
4281366
MEDICAID TENNESSEE
TN
01
—
6602886
MEDICAID VIRGINIA
VA
05
—
7100237730
—
KY
01
—
9114175
MEDICAID COLORADO
CO
01
—
912684800
MEDICAID FLORIDA
FL
01
—
CF7906
RAILROAD MEDICARE
—
Enumeration date
07/08/2006
Last updated
10/28/2020
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