Southern Illinois Pathology, PC
NPI #1588649024 in Carbondale, Illinois
Provider Information
- NPI Number
- 1588649024
- Entity Type
- Organization
- Organization Name
- Southern Illinois Pathology, PC
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Enumeration Date
- Dec 7, 2005
- Last Updated
- Mar 14, 2011
Practice Location
- Address
- 404 W MAIN ST
- Address 2
- PATHOLOGY DEPARTMENT
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-2904
- Phone
- (618) 549-0721
Authorized Official
- Name
- DR. CHANDRASHEKAR PADMALATHA, M.D.
- Title
- PRESIDENT
- Phone
- (618) 549-0721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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