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NPI Code Detail

MEDICARE: PATHOLOGY SERVICES, INC.

MEDICARE: PATHOLOGY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CK1519OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093799561
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHOLOGY SERVICES, INC.
Provider Business Mailing Address
First Line : DEPT L1919
Second Line :
City : COLUMBUS
State : OH
Zip : 43260-0001
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 5100 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1607
Country : US
Telephone Number : 614-297-4000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RUTH L. ANKER
Credential : D.O.
Telephone Number : 614-297-4000
Provider Enumeration Date : 11/30/2005
Last Update Date : 01/16/2008

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