Organization
AMERIPATH LUBBOCK 501A CORPORATION
Active
Parent organization
AMERIPATH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC
Authorized official
DR. EDWARD M KRAMER MD (VP)
(610) 550-3000
Entity
Organization
Contact information
Practice address
117 E 19TH ST, ROSWELL, NM 88201-5151
(575) 627-7000
(575) 627-7007
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07231083
—
NM
Enumeration date
01/15/2009
Last updated
04/24/2015
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