Prairie Pathology and Laboratory Physicians

NPI #1265433312 in Normal, Illinois

Provider Information

NPI Number
1265433312
Entity Type
Organization
Organization Name
Prairie Pathology and Laboratory Physicians
Primary Specialty
Pathology - Clinical Pathology/Laboratory Medicine
Enumeration Date
Aug 10, 2005
Last Updated
Jul 21, 2022

Practice Location

Address
VIRGINIA AT FRANKLIN
Address 2
BROMENN REGIONAL MEDICAL CENTER
City
Normal
ZIP Code
61761
Phone
(309) 454-0731

Authorized Official

Name
YOUNG BAI KIM, MD
Title
DIRECTOR
Phone
(309) 454-0731

Specialties & Taxonomy Codes

Specialty
Pathology - Clinical Pathology/Laboratory MedicineClinical Pathology/Laboratory Medicine

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