Organization
AMERIPATH MISSISSIPPI INC
Active
Parent organization
AMERIPATH INC.
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
1033 N FLOWOOD DR, JACKSON, MS 39232-9533
(601) 932-8370
(601) 939-2915
Mailing address
7111 FAIRWAY DRIVE, SUITE 400, PALM BEACH GARDENS, FL 33418-4207
(561) 712-6200
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
25D0651861
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015623
—
MS
05
—
1918130
—
LA
Enumeration date
02/06/2006
Last updated
01/19/2012
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