Prairie Pathology and Laboratory Physicians

Organization Clinical Pathology/Laboratory Medicine Physician · NPI 1265433312

Prairie Pathology and Laboratory Physicians is a Clinical Pathology/Laboratory Medicine Physician in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in: IL
In the registry since: 2005

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Practice location Partly verified

Some contact details are missing from the federal record.

Virginia At Franklin Bromenn Regional Medical Ctr
Normal, IL 61761
Phone: (309) 454-0731
Fax: (309) 452-2375

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Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary)	Taxonomy 207ZP0105X (IL)

Record details

NPI number	1265433312
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Young Kim — Director · (309) 454-0731
NPI enumerated	August 10, 2005
Last updated in NPPES	July 21, 2022
Mailing address	Po Box 1808, Bloomington, IL 61702-1808