Parkway Pathology Group

NPI #1750580510 in Sullivan, Missouri

Provider Information

NPI Number: 1750580510
Entity Type: Organization
Organization Name: Parkway Pathology Group
Subpart: Yes (part of a larger organization)
Parent Organization: PARKWAY PATHOLOGY GROUP
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date: Jul 12, 2007
Last Updated: Oct 22, 2007

Practice Location

Address: 751 SAPPINGTON BRIDGE RD
Address 2: ATTN: PATHOLOGY DEPARTMENT
City: Sullivan
State: Missouri
ZIP Code: 63080-2354
Phone: (573) 468-4186

Authorized Official

Name: CHARLES SHORT, MD
Title: PRESIDENT
Phone: (314) 996-4285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Cytopathology — Cytopathology	207ZC0500X
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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