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Organization

AMERIPATH 501A CORPORATION

Active
Parent organization
AMERIPATH INC.
Other names
Cockerell and Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER MD (VICE PRESIDENT)
(610) 550-3000
Entity
Organization

Contact information

Practice address
2330 BUTLER ST, SUITE 115, DALLAS, TX 75235-7828
(800) 309-0000
(214) 630-5210
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(561) 712-6200
(561) 712-7349

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D0677505
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000814734A
GA
05
000J6113
NM
05
0122415
MS
05
025447601
TX
05
100447800A
KS
05
132904709
AR
05
32919900
WI
05
3790343200
KY
05
420891
MT
05
4490764
TN
05
7001145
NC
05
L00018
SC
Enumeration date
01/31/2006
Last updated
09/07/2011
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