Premier Pathology Services Llc

NPI 1306834346 - Pathology - 207ZP0102X

NPI Details
NPI 1306834346
Enumeration Date 10/13/2005
Last Updated 09/03/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DOLPH D DOLPH
Position PRESIDENT
Phone (618) 234-2120
Fax (618) 222-4630
Practice Location
211 S 3RD ST
DEPT. OF PATHOLOGY
BELLEVILLE IL, 62220-1915, US
Phone (618) 234-2120
Fax (618) 222-4630
Business Location
PO BOX 144333
ORLANDO FL, 32814-4333, US
Phone (407) 422-9831
Fax (407) 648-2065
Toxanomy
Taxonomy Code 207ZP0102X
License State Illinois
License Number =========
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According to our database, Premier Pathology Services Llc NPI is 1306834346, taxonomy code is 207ZP0102X and license number is =========, license state is located at Illinois. Premier Pathology Services Llc physically located at 211 S 3rd St, Belleville IL, 62220-1915. NPI Number 1033115704 has the healthcare provider type.

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1306834346 NPI number is provided on an as is basis without warranty of any kind. 1306834346 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Pathology Services Llc are for informational purposes only.