Organization
ANDERSON PATHOLOGISTS INC. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY H ELLIS M.D. (PRESIDENT)
(765) 646-8433
Entity
Organization
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8433
(765) 683-2528
Mailing address
4095 RELIABLE PARKWAY, CHICAGO, IL 60686-0040
(314) 821-8055
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085495
BCBS
IN
01
—
CB8100
TRAVELERS
—
Enumeration date
12/09/2005
Last updated
03/17/2008
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