# PARKWAY PATHOLOGY GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245206960
- **Authorized official:** DR. DALE K. SELBY MD (PRESIDENT)
- **Authorized official phone:** (314) 996-5653

## Contact information

- **Practice address:** 3015 N. BALLAS ROAD, DEPARTMENT OF PATHOLOGY, ST. LOUIS, MO 63131-2329
- **Practice address phone:** (630) 581-6523
- **Practice address fax:** (630) 472-9502
- **Mailing address:** 3010 HIGHLAND PKWY STE 325, DOWNERS GROVE, IL 60515-5670
- **Mailing address phone:** (630) 581-6523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 119920 | MO | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 2002005137 | MO | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 2002015959 | MO | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 33088 | MO | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | R2A98 | MO | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | R5909 | MO | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | R8544 | MO | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 04/03/2025