Organization
SHOALS PATHOLOGY ASSOCIATES INC
Active
Parent organization
AMERIPATH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC
Authorized official
DR. EDWARD M KRAMER (VP)
(610) 550-3000
Entity
Organization
Contact information
Practice address
1800 BEVERLY AVE, MUSCLE SHOALS, AL 35661-3255
(256) 383-1160
(256) 381-9755
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
01D0641610
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027663
BCBS
TN
05
—
05854236
—
MS
01
—
51054185
BCBS
AL
05
—
531800201
—
AL
05
—
7001359
—
NC
Enumeration date
02/06/2006
Last updated
09/06/2011
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