Organization · NPI-2
A D Tomas MD Ltd
Pathology, Anatomic Pathology & Clinical Pathology · Ottawa, IL
NPI number1225212236
StatusActive
Last updated in NPPESJun 27, 2008
Details
- NPI
- 1225212236
- Entity type
- Organization (NPI-2)
- Legal business name
- A D Tomas MD Ltd
- Organization subpart
- No
- Enumeration date
- Dec 27, 2007
- Last updated
- Jun 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 036048141 | IL | Yes |
Practice location
1100 E Norris Drive Dept Of PathologyOttawa Regional Hospital & Healthcare Center
Ottawa, IL 61350-1604
Phone 815-434-5500 · Fax 815-434-2939
Mailing address
Po Box 732Ottawa, IL 61350-0732
Phone 888-843-8475 · Fax 314-849-6395
Authorized official
Lisa Randolph
Manager - Financial Services
8888438475
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