Organization
PATHOLOGY CONSULTANTS INC
Active
Other names
PCI
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A FRITSCH MD (PRESIDENT)
(219) 873-3130
Entity
Organization
Contact information
Practice address
425 JOLIET ST STE 323, DYER, IN 46311-1767
(219) 873-3130
(219) 359-2232
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
50000Z10A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101100
BCBS
IN
01
—
070058
CCN
IN
05
—
100162290
—
IN
01
—
266805
BLACK LUNG
IN
05
—
46361-02
—
IL
01
—
5Z737
CSHCS
IN
Enumeration date
08/25/2005
Last updated
01/23/2024
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