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Contact Information

PARKWAY PATHOLOGY GROUP, INC.
3015 N. BALLAS ROAD
DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO63131-2329
 Phone: 630-581-6523
 Fax: 630-472-9502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PARKWAY PATHOLOGY GROUP, INC.

NPI Number 1245206960
LBN Legal business name PARKWAY PATHOLOGY GROUP, INC.
Authorized official DALE SELBY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/23/2006
Last updated 04/03/2025 - More than a year ago
Identifiers
MO License # 119920
MO License # 2002005137
MO License # 2002015959
MO License # 33088
MO License # R2A98
MO License # R5909
MO License # R8544
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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