Organization
AMERIPATH CONSULTING PATHOLOGY SERVICES PA
Active
Parent organization
AMERIPATH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER (VICE PRESIDENT)
(610) 550-3000
Entity
Organization
Contact information
Practice address
125 BUENA VISTA CIRCLE, PATHOLOGY DEPT., SOUTH HILL, VA 23970
(434) 447-3151
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(561) 712-6200
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
49D0927265
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015MV
BCBS
VA
05
—
1730388315
—
VA
01
—
49D0927265
CLIA
VA
Enumeration date
07/13/2007
Last updated
10/07/2011
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