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Organization

CARIS MOLECULAR PATHOLOGY

Active
Parent organization
CARIS MPI, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARIS MPI, INC.
Authorized official
LUKE POWER (CFO AND CAO AND TREASURER)
(214) 294-5568
Entity
Organization

Contact information

Practice address
4610 SOUTH 44TH PLACE, PHOENIX, AZ 85040
(602) 464-7664
(214) 716-4125
Mailing address
750 WEST JOHN CARPENTER FREEWAY. C/O KELLY BERMAN, SUITE 800, IRVING, TX 75039-2443
(214) 294-5558
(214) 294-5640

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
207ZP0101X
Anatomic Pathology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
12/19/2011
Last updated
03/09/2023
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