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General NPI Number Information
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NPI Number | 1568380103
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Entity Type | Organization
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Legal Business Name | AMERIPATH INDIANAPOLIS PC
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 1000 W 10TH ST
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City | ROLLA
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State | MO
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Zip | 65401-2905
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Country | US
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Telephone | 573-458-7050
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Fax | 573-458-8399
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Provider Business Mailing Address
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Address Line | 4770 REGENT BLVD
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City | IRVING
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State | TX
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Zip | 75063-2445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AO
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Name | ROBERT A QUIREY
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Credential | MD
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Telephone | 317-275-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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