Basic Information
| Provider Information | |||||||||
| NPI: | 1427235175 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CORPATH LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 636042 DEPT 6042 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452636042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6144422400 | ||||||||
| FaxNumber: | 6144422403 | ||||||||
| Practice Location | |||||||||
| Address1: | 7500 HOSPITAL DRIVE | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6144422400 | ||||||||
| FaxNumber: | 6144422403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2008 | ||||||||
| LastUpdateDate: | 01/24/2008 | ||||||||
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| AuthorizedOfficialLastName: | PYKA | ||||||||
| AuthorizedOfficialFirstName: | RONALD | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUTHORIZED OFFICIAL | ||||||||
| AuthorizedOfficialTelephone: | 6144422400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.