Organization
AMERIPATH SC INC
Active
Parent organization
AMERIPATH INC.
Other names
Maize Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD MICHAEL KRAMER MD (VICE PRESIDENT)
(610) 550-3003
Entity
Organization
Contact information
Practice address
266 W COLEMAN BLVD, SUITE 101, MOUNT PLEASANT, SC 29464-5651
(843) 388-6911
(843) 388-6917
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42D2039111
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010252296
—
VA
05
—
3810004199
—
WV
05
—
7001264
—
NC
05
—
922194685A
—
GA
05
—
L00169
—
SC
01
—
P00106241
RR MCR
SC
Enumeration date
02/06/2006
Last updated
10/06/2014
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