Organization
CEDAR VALLEY PATHOLOGISTS PC
Active
Organization
CEDAR VALLEY PATHOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J BOLLINGER (TREASURER)
(319) 369-7002
Entity
Organization
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7002
(302) 416-6097
Mailing address
PO BOX 957076, SAINT LOUIS, MO 63195-7076
(407) 422-9831
(302) 416-6097
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090449
—
IA
Enumeration date
07/27/2006
Last updated
04/28/2025
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