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Contact Information

KMC PATHOLOGY PA
600 RIVER AVE
LAKEWOOD TOWNSHIP, NJ08701-5237
 Phone: 732-363-1900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KMC PATHOLOGY PA

NPI # 1770530834
LBN Legal business name KMC PATHOLOGY PA
Authorized official RAMESH MAHAPATRO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers
NJ Medicaid 6804802
Other 2037958 AETNA
Other 0895102000 AMERIHEALTH
Other 1K3134 HEALTHNET
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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