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Ameripath Severance 501a Corporation

Pathology, Anatomic Pathology & Clinical Pathology in San Antonio, TX. Organization (NPI-2).

NPI number1801023908
StatusActive
Last updated in NPPESSep 7, 2011

Details

NPI
1801023908
Entity type
Organization (NPI-2)
Legal business name
Ameripath Severance 501a Corporation
Organization subpart
Yes
Enumeration date
Jun 16, 2009
Last updated
Sep 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––Yes

Practice location

301 N Frio St
San Antonio, TX 78207-3034

Phone 210-477-5800 · Fax 210-735-1305

Mailing address

7111 Fairway Drive
Suite 400
Palm Beach Gardens, FL 33418-4207

Phone 561-712-6200 · Fax 561-712-7349

Authorized official

Edward M Kramer
Vice President
6105503000

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