Ameripath Indianapolis PC
Pathology, Anatomic Pathology & Clinical Pathology in Rolla, MO. Organization (NPI-2).
NPI number1053102004
StatusActive
Last updated in NPPESOct 2, 2026
Details
- NPI
- 1053102004
- Entity type
- Organization (NPI-2)
- Legal business name
- Ameripath Indianapolis PC
- Organization subpart
- Yes
- Enumeration date
- May 16, 2025
- Certification date
- Oct 2, 2026
- Last updated
- Oct 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
1000 W 10th StRolla, MO 65401-2905
Phone 573-458-7050 · Fax 573-458-8399
Mailing address
4770 Regent BlvdIrving, TX 75063-2445
Phone 866-697-8378 · Fax 610-271-4245
Authorized official
Robert Quirey
Ao
8009209000
Is something wrong?
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