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Contact Information

LOUISVILLE PATHOLOGY ASSOCIATES PSC
200 ABRAHAM FLEXNER WAY
PATHOLOGY DEPT
LOUISVILLE, KY40202-1818
 Phone: 502-456-6212
 Fax: 502-456-4440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Hematology

207ZH0000X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for LOUISVILLE PATHOLOGY ASSOCIATES PSC

NPI # 1265465801
LBN Legal business name LOUISVILLE PATHOLOGY ASSOCIATES PSC
Authorized official JOSEPH TISONE - (LABORATORY MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2006
Last updated 10/28/2020 - About 6 years ago
Identifiers
KY Medicaid 7100237730
Other 290445 BLACK LUNG PROGRAM
Other 0956501 CIGNA HEALTHCARE
Other CF7906 RAILROAD MEDICARE
Other 1100338 UNITED HEALTHCARE
Other 1301279 UNITED MINE WORKERS
CO Other 9114175 MEDICAID COLORADO
FL Other 912684800 MEDICAID FLORIDA
FL Other 163417200 WORKERS COMP FLORIDA
IN Other 100009590A MEDICAID INDIANA
KY Other 000000058947 ANTHEM BLUE CROSS BS
KY Other 1050655 PASSPORT MEDICAID
MO Other 206644601 MEDICAID MISSOURI
NV Other 144621 WORKERS COMP NEVADA
TN Other 4281366 MEDICAID TENNESSEE
TX Other 0781049-01 MEDICAID TEXAS
VA Other 6602886 MEDICAID VIRGINIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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