Organization
OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC
Active
Organization
OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
MR. EDWARD M KRAMER M.D. (VP)
(317) 275-8072
Entity
Organization
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-4865
Mailing address
2560 N SHADELAND AVE STE A, ATTN: ANN PATTERSON, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8124
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
11D0982593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D0982593
CLIA
GA
05
—
591654749A
—
GA
Enumeration date
01/11/2007
Last updated
12/04/2012
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