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Contact Information

PATHOLOGY & FORENSIC CONSULTANTS LLC
700 BROADWAY
FORT WAYNE, IN46802
 Phone: 260-425-3762
 Fax: 260-425-3298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Forensic Pathology

207ZF0201X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PATHOLOGY & FORENSIC CONSULTANTS LLC

NPI Number 1720018773
LBN Legal business name PATHOLOGY & FORENSIC CONSULTANTS LLC
Authorized official PRAMOD CARPENTER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/04/2006
Last updated 07/21/2010 - About 16 years ago
Identifiers
IN Medicaid 200825690A
OH Medicaid 2673790
OH Medicaid 2673807
OH Medicaid 2673816
IN Other 000000487821 BCBS
IN Other DF4174 RAILROAD MEDICARE
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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