Dr. Julie Ann Neidich, MD
Pathology, Molecular Genetic Pathology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1962690180
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1962690180
- Entity type
- Individual (NPI-1)
- Name
- Dr. Julie Ann Neidich
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2007
- Last updated
- Apr 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PATHOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0007X | Pathology, Molecular Genetic Pathology | 2017022702 | MO | Yes |
Practice location
4320 Forest Park AveDiv PA, Genomic And Molecular Pathology, Ste 209
Saint Louis, MO 63108-2979
Phone 314-362-5641 · Fax 314-362-0369
Mailing address
Po Box 7412011Chicago, IL 60674-2011
Phone 314-362-5641 · Fax 314-362-0369
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