1881666741 NPI number — AMERIPATH CINCINNATI INC

Table of content: (NPI 1881666741)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881666741 NPI number — AMERIPATH CINCINNATI INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERIPATH CINCINNATI INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881666741
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14275 MIDWAY RD STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ADDISON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75001-3661
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:
610-271-4245

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6700 STEGER DR STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45237-3046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-541-8531
Provider Business Practice Location Address Fax Number:
513-745-8335
Provider Enumeration Date:
02/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WHEELER
Authorized Official First Name:
DARREN
Authorized Official Middle Name:
THOMAS
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
702-733-7866

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  36D0346613 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 36D0346613 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 703803304 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100043710 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0505331 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 68306 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7001336 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000003310 . This is a "BCBS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 342100 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9141375 00 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000777917A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025701400 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100357710A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1881666741 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: XPY186016 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100003810A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100357710B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 164246223 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1881666741 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200912300 A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 221530310 . This is a "MC RR" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 3810012030 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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