Organization
SUMMIT PATHOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A HENTHORNE MD (PRESIDENT)
(330) 375-3786
Entity
Organization
Contact information
Practice address
195 WADSWORTH RD, WADSWORTH, OH 44281-9504
(330) 375-3786
Mailing address
30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000
(440) 716-8608
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026437100
BLACK LUNG
OH
01
—
1100545
UNITED HEALTH CARE
—
01
—
127732600
DEPT OF LABOR
OH
05
—
2073269
—
OH
05
—
2615147
—
OH
01
—
264371
UNITED MINE WORKERS OF AMERICA
—
01
—
59446
QUALCHOICE
OH
01
—
8463565
AETNA
—
Enumeration date
03/29/2006
Last updated
06/04/2014
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