Organization
NORTHWEST MISSOURI PATHOLOGISTS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORIE A MONTAG M.D. (PRESIDENT)
(816) 271-6170
Entity
Organization
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6170
(816) 271-6673
Mailing address
PO BOX 412868, KANSAS CITY, MO 64141-2868
(800) 897-6169
(800) 897-6170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212990A
—
KS
01
—
10225013
BLUE CROSS BLUE SHIELD KC
—
05
—
502207608
—
MO
01
—
CS8770
RAILROAD MEDICARE
—
Enumeration date
06/01/2006
Last updated
07/08/2008
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