Organization
FLOYD PATHOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E STAPP MD (LABORATORY MEDICAL DIRECTOR)
(502) 456-6211
Entity
Organization
Contact information
Practice address
1850 STATE ST, PATHOLOGY DEPT, NEW ALBANY, IN 47150-4990
(502) 456-6211
(502) 456-4440
Mailing address
PO BOX 1286, NEW ALBANY, IN 47151-1286
(502) 456-6211
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000854058
ANTHEM
KY
05
—
100116000A
—
IN
01
—
50062355
PASSPORT
KY
05
—
7100275520
—
KY
01
—
DU5009
MEDICARE RR
IN
Enumeration date
10/23/2013
Last updated
01/13/2017
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