Organization
OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC
Active
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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