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Organization

AMERIPATH INDIANAPOLIS PC

Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERIPATH INC.
Authorized official
ROBERT QUIREY MD (AO)
(800) 890-6220
Entity
Organization

Contact information

Practice address
2560 N SHADELAND AVE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8005
(317) 275-8018
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(610) 271-4245

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
291U00000X
Clinical Medical Laboratory
Primary
15D1002565
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316919079
MI
05
1316919079
MN
05
200168060A
IN
05
2884188
OH
05
7100063140
KY
05
7100184740
KY
Enumeration date
02/06/2006
Last updated
02/20/2025
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