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EAST CENTRAL INDIANA PATHOLOGISTS PC NPI 1043394695


NPI Information

NPI: 1043394695
Provider Name: EAST CENTRAL INDIANA PATHOLOGISTS PC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 15D2022446

Address:
2401 W UNIVERSITY AVE
MUNCIE, IN
ZIP 47303
Phone: (765) 741-3428
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EAST CENTRAL INDIANA PATHOLOGISTS PC is an anatomic pathology and clinical pathology pathology in Muncie, IN. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. EAST CENTRAL INDIANA PATHOLOGISTS PC NPI is 1043394695. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2401 W UNIVERSITY AVE
MUNCIE, IN
ZIP 47303-428
Phone: (765) 741-3428
Fax: (765) 741-2905

The provider's authorized official is George E Branam .
The authorized official title is Ceo and has the following contact phone number (765) 747-3428.

The CLIA number assigned to this NPI record is 15D2022446 - other - outpatient radiology with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 12/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZC0500XPathologyCytopathology01046076AINDIANANo
2207ZH0000XPathologyHematology01018004AINDIANANo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology01018004AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000101392OTHERBLUE SHIELD GROUP
22099554MEDICAIDOHIO
3203790MEDICARE PININDIANA
4CN0381MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.