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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