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Organization
QUAD CITIES PATHOLOGISTS, LLC
Active
Organization
QUAD CITIES PATHOLOGISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES K BILLMAN JR. MD (MEMBER)
(309) 762-8555
Entity
Organization
Contact information
Practice address
1520 7TH STREET, MOLINE, IL 61265-2917
(309) 762-8555
(563) 326-0115
Mailing address
1520 7TH AVE, MOLINE, IL 61265-2917
(309) 762-8555
(563) 326-0115
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
14D1019160
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418822
—
IA
01
—
DB0382
RAILROAD PROVIDER #
—
01
—
DC1096
RAILROAD PROVIDER #
—
Enumeration date
04/13/2006
Last updated
04/05/2016
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