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NPI Code Detail

MEDICARE: SURGICAL PATHOLOGY SERVICES, INC

MEDICARE: SURGICAL PATHOLOGY SERVICES, 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
1291U00000XClinical Medical Laboratory

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DB5457OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578547055
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGICAL PATHOLOGY SERVICES, INC
Provider Business Mailing Address
First Line : DEPT L2587
Second Line : PO BOX 600001
City : COLUMBUS
State : OH
Zip : 43260-0001
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 5100 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1607
Country : US
Telephone Number : 614-297-4000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RUTH L. ANKER
Credential : D.O.
Telephone Number : 614-297-4000
Provider Enumeration Date : 11/30/2005
Last Update Date : 03/31/2015

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Directions to “SURGICAL PATHOLOGY SERVICES, INC ” Practice Location

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