Organization
METROPOLITAN MEDICAL LABORATORY, PLC
Active
Organization
METROPOLITAN MEDICAL LABORATORY, PLC
Active
Other names
Quad Cities Pathologists Group
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
1814 E LOCUST STREET, DAVENPORT, IA 52803-2038
(563) 324-0471
(563) 326-0115
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D0430746
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002394
—
IA
01
—
690002426
RAILROAD PROVIDER #
—
Enumeration date
06/10/2005
Last updated
09/09/2016
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