Organization
INSTITUTE FOR DERMATOPATHOLOGY, INC.
Active
Parent organization
AMERIPATH INC.
Other names
Ameripath Pittsburgh, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DARREN THOMAS WHEELER (VICE PRESIDENT)
(702) 733-7866
Entity
Organization
Contact information
Practice address
875 GREENTREE ROAD, SUITE 325, FOUR PARKWAY CENTER, PITTSBURGH, PA 15220
(800) 845-3573
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3676
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
39D0177150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01016391
—
VA
05
—
1007508900001
—
PA
05
—
1007508900004
—
PA
05
—
2335262
—
OH
01
—
308055
BCBS
PA
05
—
6701101000
—
WV
Enumeration date
02/06/2006
Last updated
08/14/2024
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