Organization
AMERIPATH CLEVELAND INC
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DARREN THOMAS WHEELER MD (VICE PRESIDENT)
(702) 733-7866
Entity
Organization
Contact information
Practice address
2451 EDISON BLVD STE A, TWINSBURG, OH 44087-2340
(440) 703-2100
(440) 703-2155
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(800) 331-7546
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0656067
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024771
BCBS
OH
05
—
0318525
—
OH
05
—
084918
—
AZ
05
—
101272607
—
PA
05
—
1578535456
—
VA
05
—
158988709
—
AK
05
—
164729542
—
MI
05
—
1718561
—
TX
05
—
36201300
—
WI
05
—
4104722
—
MD
01
—
690031091
MC RR
OH
05
—
7001332
—
NC
05
—
90386574
—
CO
05
—
L00234
—
SC
Enumeration date
02/03/2006
Last updated
10/15/2024
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