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Contact Information

INDIANA PATHOLOGY CONSULTANTS, INC.
7950 WEST JEFFERSON BLVD.
PATHOLOGY DEPARTMENT
FORT WAYNE, IN46804
 Phone: 260-435-7154
 Fax: 260-435-7633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for INDIANA PATHOLOGY CONSULTANTS, INC.

NPI Number 1467597062
LBN Legal business name INDIANA PATHOLOGY CONSULTANTS, INC.
Authorized official MAX DANIELS - (CORPORATE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2007
Last updated 09/28/2009 - About 17 years ago
Identifiers
IN License # 50000730A
IN Medicaid 100053700B
Other CN1365 RAILROAD
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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