Organization
AMERIPATH CONSOLIDATED LABS INC.
Active
Parent organization
AMERIPATH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC
Authorized official
MR. MICHAEL H GREENE (VP)
(214) 932-8270
Entity
Organization
Contact information
Practice address
895 SW 30TH AVE, SUITE 201, POMPANO BEACH, FL 33069-4887
(800) 330-6770
Mailing address
7111 FAIRWAY DR, 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
10D0645438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0645438
CLIA
FL
Enumeration date
11/15/2006
Last updated
09/24/2008
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