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1043214851

NPI Code Detail

MEDICARE: PATHOLOGISTS, INC

MEDICARE: PATHOLOGISTS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043214851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHOLOGISTS, INC

Provider Business Mailing Address
First Line	:	3000 MACK RD
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5335
Country	:	US
Telephone Number	:	513-965-8041
Fax Number	:	513-965-8091

Provider Business Practice Location Address
First Line	:	3000 MACK RD
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5335
Country	:	US
Telephone Number	:	513-870-7032
Fax Number	:	513-965-8091

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH BRANDABUR
Credential	:	MD
Telephone Number	:	513-965-8041

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	08/22/2020

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Directions to “PATHOLOGISTS, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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