Ameripath Tucson Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

03D1033449 Issued in AZ

Legal business name

AMERIPATH TUCSON INC

Doing business as

Ameripath Arizona

Practice address

7227 N 16TH Street
150A
Phoenix, AZ 85020-5251

Phone

(602) 441-2042

Fax

(602) 441-2034

NPI assigned

Feb 6, 2006

Organization subpart

Yes

Parent organization

AMERIPATH INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward Michael Kramer, MD

Title

Vice President

Phone

(610) 550-3003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ameripath Arizona Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ameripath Tucson Inc

  dba Dermpath Diagnostics

  • Dermatopathology (Pathology) Physician
  • Tucson, AZ
  • NPI 1497805733

  O20080303000481

  Same enrollment
• Ameripath Tucson Inc

  • Dermatopathology (Pathology) Physician
  • Mesa, AZ
  • NPI 1720817125

  O20080303000481

  Same enrollment
• Ameripath Tucson Inc

  • Dermatopathology (Pathology) Physician
  • Tucson, AZ
  • NPI 1972332385

  O20080303000481

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey A. Mossler, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1639156847
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1073585733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 N 16TH STREET",
            "address_2": "150A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205251",
            "telephone_number": "602-441-2042",
            "fax_number": "602-441-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH TUCSON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC.",
        "enumeration_date": "2006-02-06",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-550-3003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "03D1033449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ameripath Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.