# ST. LOUIS CLINICAL PATHOLOGY LLC

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

## Provider details

- **NPI number:** 1902081433
- **Authorized official:** SCOTT A MARTIN MD (PRESIDENT)
- **Authorized official phone:** (314) 991-8015

## Contact information

- **Practice address:** 615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
- **Practice address phone:** (314) 991-8015
- **Practice address fax:** (314) 631-4491
- **Mailing address:** PO BOX 790067, SAINT LOUIS, MO 63179-0067
- **Mailing address phone:** (800) 354-1088
- **Mailing address fax:** (314) 631-4491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | MO | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 07/21/2022