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Organization

UNIVERSITY PATHOLOGY DIAGNOSTICS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIJAYA B REDDY M.D. (PRESIDENT)
(312) 942-8850
Entity
Organization

Contact information

Practice address
1653 W CONGRESS PKWY, 570 JELKE, CHICAGO, IL 60612-3833
(312) 942-8850
(312) 563-8630
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
70191199
IL

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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