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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