Organization
APL CLINICAL PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BELL M.D. (PRESIDENT)
(217) 522-3117
Entity
Organization
Contact information
Practice address
800 E CARPENTER, SPRINGFIELD, IL 62769-0001
(217) 522-3117
Mailing address
PO BOX 3878, PEORIA, IL 61612-3878
(877) 852-4669
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432046
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/22/2006
Last updated
05/12/2011
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