Organization
AMERIPATH INDIANAPOLIS PC
Active
Parent organization
AMERIPATH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC
Authorized official
DR. EDWARD M KRAMER (VP)
(610) 550-3000
Entity
Organization
Contact information
Practice address
6700 STEGER DR, ROOM 121 & 122, CINCINNATI, OH 45237-3046
(513) 353-6531
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
36D1093279
OH
291U00000X
Clinical Medical Laboratory
Primary
36D1093279
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201026930C
—
IN
05
—
2987835
—
OH
05
—
7100126450
—
KY
05
—
7100137980
—
KY
Enumeration date
12/18/2008
Last updated
04/24/2015
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