Healthcare Provider Details
I. General information
NPI: 1821796459
Provider Name (Legal Business Name): APEX PATHOLOGY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2023
Last Update Date: 02/22/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
340 PEAK ONE DRIVE
FRISCO CO
80443-0738
US
IV. Provider business mailing address
5700 SOUTHWYCK BLVD
TOLEDO OH
43614-1509
US
V. Phone/Fax
- Phone: 970-668-3300
- Fax: 419-866-5453
- Phone: 800-288-8325
- Fax: 419-866-5453
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHEN
FORDYCE
WORTH
Title or Position: PRESIDENT
Credential:
Phone: 303-592-7284