Path Lab Diagnostic Services, LLC
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Galesburg, IL
NPI 1245267673 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1245267673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- PATH LAB DIAGNOSTIC SERVICES, LLC
- Practice address
- 3333 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (877) 861-9294
- NPI assigned
- Jun 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Nestor Pamatmat, M.D.
- Title
- President
- Phone
- (877) 861-9294
Practitioners 35
-
Jarrod S Barker, M.D.
-
Branden Briggs, M.D.
-
Victor Wai Yuen Chan, D.O.
-
Michael Nadair Daley, M.D.
-
Hannah K Donahue, APN
-
Brett Andrew Eandi, PHYSICIAN ASSISTANT
-
John N. Edwards, MD
-
Kenyatta Jamal Frazier, M.D.
-
Mark Phillip Gaudio, M.D.
-
Stephanie Kok, M.D.
-
Anthony John Lahood, D.O.
-
Susana Meschede, MD
-
Joseph R Peters, D.O.
-
Steven K Schell, MD
-
Joseph A Sottile, M.D.
-
James G. Szudera, D.O.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes |
Addresses
Primary practice location
3333 N Seminary St
Galesburg, IL 61401-1251
Mailing address
PO Box 9518
Peoria, IL 61612-9518
Phone (877) 861-9294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04832025 | Other | IL | BLUE CROSS BLUE SHIELD |
| DE5890 | Other | IL | RAILROAD MEDICARE |
Other providers in Galesburg, IL
- Nestor A Pamatmat
- Subash Paralikar
- Debora Sue Parrish
- Karen Lynn Pasko
- Kishorbhai K Patel
- Thomas H Patterson
- Jessica Renee Paul
- Wendy Michelle Paul
- Keith Peachey
- Peck Shulk Chiropractic, PLLC
All providers in Galesburg, IL · Anatomic Pathology & Clinical Pathology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.