Organization
INSTITUTE FOR DERMATOPATHOLOGY PC
Active
Parent organization
AMERIPATH INC.
Other names
Dermpath Diagnostics Mid Atlantic
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER MD (VP)
(610) 550-3000
Entity
Organization
Contact information
Practice address
11820 PARKLAWN DR, 402, ROCKVILLE, MD 20852-2529
(877) 214-0147
Mailing address
7111 FAIRWAY DRIVE, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D2001174
C LIA
MD
05
—
4241029 00
—
MD
Enumeration date
10/30/2009
Last updated
09/20/2011
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