Organization
PATHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA SOTOS MD (PRESIDENT)
(314) 525-1144
Entity
Organization
Contact information
Practice address
10010 KENNERLY ROAD, ST. LOUIS, MO 63128-2106
(314) 525-4768
(314) 525-4354
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123263
BCBS MO PIN
MO
01
—
18289
HEALTHCARE USA PIN
MO
01
—
31069
ADVANTRA PIN
MO
01
—
459637
HEALTHLINK PIN
MO
05
—
502180409
—
MO
01
—
CG4545
RAILROAD MEDICARE
—
Enumeration date
06/17/2005
Last updated
08/27/2014
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