Organization
OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC
Active
Parent organization
AMERIPATH INC.
Other names
Atlanta GI
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
KRISTIE M DOLAN (VICE PRESIDENT)
(866) 697-8378
Entity
Organization
Contact information
Practice address
1777 MONTREAL CIR STE A-C, TUCKER, GA 30084-6802
(678) 406-1289
(770) 621-7530
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
11D1066992
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D2230489
CLIA
—
Enumeration date
07/11/2007
Last updated
03/14/2022
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