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PRAIRIE PATHOLOGY AND LABORATORY PHYSICIANS NPI 1265433312


NPI Information

NPI: 1265433312
Provider Name: PRAIRIE PATHOLOGY AND LABORATORY PHYSICIANS
Classification: Pathology - 207ZP0105X
Entity Type: Organization

Specialization: Clinical Pathology/Laboratory Medicine

Address:
VIRGINIA AT FRANKLIN
BROMENN REGIONAL MEDICAL CENTER
NORMAL, IL
ZIP 61761
Phone: (309) 454-0731
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PRAIRIE PATHOLOGY AND LABORATORY PHYSICIANS is a clinical pathology/laboratory medicine pathology in Normal, IL. 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. PRAIRIE PATHOLOGY AND LABORATORY PHYSICIANS NPI is 1265433312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

VIRGINIA AT FRANKLIN
BROMENN REGIONAL MEDICAL CENTER
NORMAL, IL
ZIP 61761
Phone: (309) 454-0731
Fax: (309) 452-2375

The provider's authorized official is Young Bai Kim .
The authorized official title is Director and has the following contact phone number (309) 454-0731.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 7/21/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0105XPathologyClinical Pathology/Laboratory MedicineILLINOISYes

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: 5/5/2024

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