National Provider Identifier Database

JEFFERSON CITY MEDICAL GROUP PC
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


Contact Information

JEFFERSON CITY MEDICAL GROUP, PC
1241 W STADIUM BLVD
JEFFERSON CITY, MO65109-6023
Phone: 573-635-5264
Fax:
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X

* Indicates primary specialty

NPI Profile & details for JEFFERSON CITY MEDICAL GROUP, PC

NPI Number 1235723701
Legal business name
LBN
JEFFERSON CITY MEDICAL GROUP, PC
Authorized official PHYLLIS BLAKE - (DIRECTOR OF REVENUE CYCLE)
Entity Organization
Organization subpart No
Enumeration date 02/25/2021
Last updated 02/25/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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