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General NPI Number Information
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NPI Number | 1265465801
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Entity Type | Organization
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Legal Business Name | LOUISVILLE PATHOLOGY ASSOCIATES PSC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 200 ABRAHAM FLEXNER WAY PATHOLOGY DEPT
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City | LOUISVILLE
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State | KY
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Zip | 40202-1818
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Country | US
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Telephone | 502-456-6212
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Fax | 502-456-4440
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Provider Business Mailing Address
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Address Line | 5700 SOUTHWYCK BLVD
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City | TOLEDO
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State | OH
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Zip | 43614-1509
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Country | US
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Telephone | 800-288-8325
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Fax | 419-866-5453
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Authorized Official
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Title or Position | LABORATORY MEDICAL DIRECTOR
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Name | DR. JOSEPH A TISONE
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Credential | MD
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Telephone | 502-456-6212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number |
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State | KY
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