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Organization

MID-AMERICA PATHOLOGY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRAHAM M CORMACK M.D. (PRESIDENT)
(866) 446-8708
Entity
Organization

Contact information

Practice address
3755 E 82ND ST, STE 75A, INDIANAPOLIS, IN 46240-7335
(877) 476-8522
Mailing address
2113 E 62ND ST, STE 219, INDIANAPOLIS, IN 46220-2311

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
15D0935056
IN

Other

Enumeration date
10/03/2010
Last updated
10/07/2010
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