Organization
CONSULTING PATHOLOGISTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD H MADOFF MD (PRESIDENT)
(419) 251-4534
Entity
Organization
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-4534
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
36D0331669
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317179
—
OH
05
—
2214688
—
OH
05
—
2215472
—
OH
01
—
CF1585
RAILROAD MEDICARE
OH
Enumeration date
07/07/2005
Last updated
06/03/2014
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