Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ppg Clinical Pathology, LLC

Organization Clinical Pathology Physician · NPI 1538576947

Ppg Clinical Pathology, LLC is a Clinical Pathology Physician in St. Louis, Missouri. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3015 N Ballas Rd Dept OF Pathology
St. Louis, MO 63131-2329
Phone: (630) 581-6523
Fax: (630) 472-9502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology Physician (primary) Taxonomy 207ZC0006X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X

Record details

NPI number1538576947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Petterchak — Member/Owner · (314) 996-5218
NPI enumeratedJuly 17, 2014
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address1200 Harger Road, Suite 408, Oak Brook, IL 60523-1818

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