Provider Demographics
NPI:1427235175
Name:CORPATH LTD
Entity type:Organization
Organization Name:CORPATH LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PYKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-442-2400
Mailing Address - Street 1:PO BOX 636042 DEPT 6042
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6042
Mailing Address - Country:US
Mailing Address - Phone:614-442-2400
Mailing Address - Fax:614-442-2403
Practice Address - Street 1:7500 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017
Practice Address - Country:US
Practice Address - Phone:614-442-2400
Practice Address - Fax:614-442-2403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty