Healthcare Provider Details

I. General information

NPI: 1205808847
Provider Name (Legal Business Name): ANATOMIC PATHOLOGY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 11/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 S UTICA AVE SUITE 367
TULSA OK
74104-4000
US

IV. Provider business mailing address

7111 FAIRWAY DR SUITE 400
PALM BEACH GARDENS FL
33418-4207
US

V. Phone/Fax

Practice location:
  • Phone: 918-749-7964
  • Fax: 918-584-0156
Mailing address:
  • Phone: 561-712-6200
  • Fax: 561-712-7349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number37D0473659
License Number StateOK

VIII. Authorized Official

Name: DR. EDWARD M KRAMER
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 610-550-3000