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Path Lab Diagnostic Services, LLC

Pathology, Anatomic Pathology & Clinical Pathology in Galesburg, IL. Organization (NPI-2).

NPI number1245267673
StatusActive
Last updated in NPPESMay 12, 2011

Details

NPI
1245267673
Entity type
Organization (NPI-2)
Legal business name
Path Lab Diagnostic Services, LLC
Organization subpart
No
Enumeration date
Jun 28, 2006
Last updated
May 12, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––Yes

Practice location

3333 N Seminary St
Galesburg, IL 61401-1251

Phone 877-861-9294

Mailing address

Po Box 9518
Peoria, IL 61612-9518

Phone 877-861-9294

Authorized official

Nestor Pamatmat
President
8778619294

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