Ameripath Mississippi Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

25D0651861 Issued in MS

Legal business name

AMERIPATH MISSISSIPPI INC

Practice address

1033 N Flowood Dr
Jackson, MS 39232-9533

Phone

(601) 932-8370

Fax

(601) 939-2915

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

Dr. Edward M Kramer, M.D.

Title

VP

Phone

(610) 550-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Albany, NY
  • NPI 1265202147

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1962474700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DRIVE",
            "address_2": "SUITE 400",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184207",
            "telephone_number": "561-712-6200",
            "fax_number": "561-712-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N FLOWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-932-8370",
            "fax_number": "601-939-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH MISSISSIPPI INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC.",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-550-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": "25D0651861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015623",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1918130",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilitza Alvarez-Moreno, LCSW-S
• Always There Home Care LLC
• Armand Amadiar, DDS
• Iram Aman, MD
• Ameripath Mississippi Inc
• Priyanka Ameta, MD
• Harshesh Amin, MD
• Shayan Amini, MD
• Patricia Garcia Amolenda, M.D.
• Sheranda Amos, MSW,PCAT,PCMHT

• All providers in Jackson, MS
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.