Organization
ALLIED HOSPITAL PATHOLOGISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL A KEEFER (BUSINESS MANAGER)
(260) 424-2195
Entity
Organization
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-1000
Mailing address
2458 LAKE AVE, FORT WAYNE, IN 46805-5406
(260) 424-2195
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
50002503A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079730A
—
IN
Enumeration date
12/16/2005
Last updated
09/13/2018
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