Organization
AMERIPATH CONSULTING PATHOLOGY SERVICES PA
Active
Organization
AMERIPATH CONSULTING PATHOLOGY SERVICES PA
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
568 RUIN CREEK RD, SUITE 5, HENDERSON, NC 27536-5921
(252) 492-4477
(252) 436-1899
Mailing address
2560 N. SHADELAND AVENUE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8124
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D0239955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003480461
—
VA
01
—
015MV
BCBS NC
NC
01
—
02332
BCBS
NC
05
—
1396717054
—
SC
05
—
7001174
—
NC
Enumeration date
02/06/2006
Last updated
04/21/2011
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