Quad Cities Pathologists, LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

14D1019160

Legal business name

QUAD CITIES PATHOLOGISTS, LLC

Practice address

1520 7TH Street
Moline, IL 61265-2917

Phone

(309) 762-8555

Fax

(563) 326-0115

NPI assigned

Apr 13, 2006

Last updated

Apr 5, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James K Billman Jr., MDNPI 1447251012

Title

Member

Phone

(309) 762-8555

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Kenneth Billman Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Moline, IL
  • NPI 1447251012
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1336103795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 7TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652917",
            "telephone_number": "309-762-8555",
            "fax_number": "563-326-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 7TH STREET",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652917",
            "telephone_number": "309-762-8555",
            "fax_number": "563-326-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES PATHOLOGISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "BILLMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "309-762-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": "14D1019160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER #",
            "identifier": "DC1096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER #",
            "identifier": "DB0382",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418822",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Quad Cities Wellness Clinic
• Quad City Ambulatory Surgery Center LLC

• Anatomic Pathology & Clinical Pathology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.