Anderson Pathologists INC. PC
Clinical Medical Laboratory in Anderson, IN. Organization (NPI-2).
NPI number1750366993
StatusActive
Last updated in NPPESMar 17, 2008
Details
- NPI
- 1750366993
- Entity type
- Organization (NPI-2)
- Legal business name
- Anderson Pathologists INC. PC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2005
- Last updated
- Mar 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 15D0352175 | IN | Yes |
Practice location
2015 Jackson StAnderson, IN 46016-4337
Phone 765-646-8433 · Fax 765-683-2528
Mailing address
4095 Reliable ParkwayChicago, IL 60686-0040
Phone 314-821-8055 · Fax 314-821-1833
Authorized official
Gregory H Ellis
President
7656468433
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