OrganizationActive
Fort Wayne Gi Pathology Services, PC, Inc.
NPI 1821133901 · Anatomic Pathology & Clinical Pathology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1821133901
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Max Daniels, Corporate Manager
- License
- 50004501A (IN)
Practice location
7950 W Jefferson Blvd
Gi Pathology
Fort Wayne, IN 46804-4140
Phone: (260) 435-7154
Fax: (260) 435-7633
Mailing address
6110 Constitution Dr
Fort Wayne, IN 46804-1556
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.