Provider Demographics
NPI:1881666741
Name:AMERIPATH CINCINNATI INC
Entity type:Organization
Organization Name:AMERIPATH CINCINNATI INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-733-7866
Mailing Address - Street 1:14275 MIDWAY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3661
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:610-271-4245
Practice Address - Street 1:6700 STEGER DR STE A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3046
Practice Address - Country:US
Practice Address - Phone:800-541-8531
Practice Address - Fax:513-745-8335
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERIPATH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-06
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36D0346613207ZP0102X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO703803304Medicaid
KY7100043710Medicaid
OH0505331Medicaid
NM68306Medicaid
NC7001336Medicaid
OH000000003310OtherBCBS
AZ342100Medicaid
FL9141375 00Medicaid
GA000777917AMedicaid
NE10025701400Medicaid
KS100357710AMedicaid
MN1881666741Medicaid
CAXPY186016Medicaid
IN100003810AMedicaid
KS100357710BMedicaid
MI164246223Medicaid
WI1881666741Medicaid
IN200912300 AMedicaid
OH221530310OtherMC RR
WV3810012030Medicaid
CO86086049Medicaid
PA102209715 0001Medicaid
IA506428Medicaid
WI1881666741Medicaid
KY7100043710Medicaid