Healthcare Provider Details

I. General information

NPI: 1942394531
Provider Name (Legal Business Name): ZIRRM PATHOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W MAIN ST
BELLEVUE OH
44811
US

IV. Provider business mailing address

PO BOX 727
FREMONT OH
43420-0727
US

V. Phone/Fax

Practice location:
  • Phone: 419-332-7321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY MEADE
Title or Position: PRESIDENT
Credential: MD
Phone: 419-332-7321