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Organization

AMERIPATH MISSISSIPPI INC

Active
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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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