Organization
PPG CLINICAL PATHOLOGY, LLC
Active
Organization
PPG CLINICAL PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A PETTERCHAK M.D. (MEMBER/OWNER)
(314) 996-5218
Entity
Organization
Contact information
Practice address
3015 N BALLAS ROAD, DEPARTMENT OF PATHOLOGY, ST. LOUIS, MO 63131-2329
(630) 581-6523
(630) 472-9502
Mailing address
1200 HARGER ROAD, SUITE 408, OAK BROOK, IL 60523-1818
(630) 472-8800
(630) 472-9502
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
07/17/2014
Last updated
03/30/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up