Fort Wayne Gi Pathology Services, Pc, Inc.

NPI 1821133901 - Pathology - 207ZP0102X

NPI Details
NPI 1821133901
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MAX L MAX
Position CORPORATE MANAGER
Phone (260) 435-7154
Fax (260) 435-7633
Practice Location
7950 W JEFFERSON BLVD
GI PATHOLOGY
FORT WAYNE IN, 46804-4140, US
Phone (260) 435-7154
Fax (260) 435-7633
Business Location
6110 CONSTITUTION DR
SUITE 112
FORT WAYNE IN, 46804-1556, US
Phone (260) 432-5867
Fax (260) 436-9013
Toxanomy
Taxonomy Code 207ZP0102X
License State Indiana
License Number 50004501A
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According to our database, Fort Wayne Gi Pathology Services, Pc, Inc. NPI is 1821133901, taxonomy code is 207ZP0102X and license number is 50004501A, license state is located at Indiana. Fort Wayne Gi Pathology Services, Pc, Inc. physically located at 7950 W Jefferson Blvd, Fort Wayne IN, 46804-4140. NPI Number 1033115704 has the healthcare provider type.

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1821133901 NPI number is provided on an as is basis without warranty of any kind. 1821133901 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Wayne Gi Pathology Services, Pc, Inc. are for informational purposes only.