Organization
JOHNSON COUNTY PATHOLOGY,INC
Active
Organization
JOHNSON COUNTY PATHOLOGY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LARREL I DAILEY (DIRECTOR,PATIENT ACCOUNTS)
(317) 738-7878
Entity
Organization
Contact information
Practice address
1125 W JEFFERSON ST, FRANKLIN, IN 46131-2140
(317) 736-2659
(317) 738-7872
Mailing address
PO BOX 729, FRANKLIN, IN 46131-0729
(317) 736-3588
(317) 738-7872
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
01025555A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083610
ANTHEM PROVIDER NUMBER
IN
05
—
100354140A
—
IN
Enumeration date
03/20/2007
Last updated
08/30/2016
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