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Organization

PRABHA PARTAP MD

Active
Other names
DBA County Surgical Pathology Lab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRABHA PARTAP MD (PATHOLOGIST / LAB DIRECTOR)
(314) 821-0113
Entity
Organization

Contact information

Practice address
777 S NEW BALLAS RD, SUITE 301E, SAINT LOUIS, MO 63141-8705
(314) 692-0117
(314) 993-6194
Mailing address
777 S NEW BALLAS RD, SUITE 301E, SAINT LOUIS, MO 63141-8705
(314) 692-0117
(314) 993-6194

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
35538
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010019679
RAILROAD MEDICARE
MO
01
11-50016
UNITED HEALTH CARE
MO
01
1603
BLUE CROSS/BLUE SHIELD
MO
01
177567
HEALTHLINK
MO
05
702206707
MO
Enumeration date
12/18/2007
Last updated
09/04/2008
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