Jefferson City Medical Group, PC
Jefferson City Medical Group, PC is an Anatomic Pathology & Clinical Pathology Physician in Jefferson City, Missouri. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1241 W Stadium BlvdJefferson City, MO 65109-6023
Phone: (573) 635-5264
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X |
|---|
Record details
| NPI number | 1235723701 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Phyllis Blake — Director Of Revenue Cycle · (573) 556-7721 |
| Other names | Jcmg Path Lab |
| NPI enumerated | February 25, 2021 |
| Last updated in NPPES | February 25, 2021 |
| Certification date | February 25, 2021 |
| Mailing address | Po Box 104240, Jefferson City, MO 65110-4240 |