Organization
AMERIPATH NEW YORK LLC
Active
Parent organization
AMERIPATH INC.
Other names
Dermpath Diagnostics New England
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERIPATH INC.
Authorized official
DR. EDWARD M KRAMER M.D (VP)
(610) 550-3000
Entity
Organization
Contact information
Practice address
10 FORBES RD, SUITE 260E, BRAINTREE, MA 02184-2605
(866) 370-9787
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(561) 712-6265
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800228
—
MA
01
—
22D2004456
CLIA
MA
Enumeration date
09/27/2006
Last updated
09/19/2011
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