Organization
WCP PATHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LYTTLE (EXECUTIVE DIRECTOR)
(314) 991-4313
Entity
Organization
Contact information
Practice address
2326 MILLPARK DR, MARYLAND HEIGHTS, MO 63043-3530
(314) 991-4313
(314) 991-4317
Mailing address
2326 MILLPARK DR, MARYLAND HEIGHTS, MO 63043-3530
(314) 991-4313
(314) 991-4317
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18086
HEALTHCARE USA
MO
01
—
329187
HEALTHLINK
MO
Enumeration date
11/13/2006
Last updated
08/22/2020
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