Organization
PATHOLOGY SERVICES OF SPRINGFIELD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMI R SKRADE M.D. (VICE PRESIDENT)
(417) 269-4646
Entity
Organization
Contact information
Practice address
1000 E PRIMROSE ST STE 550, SPRINGFIELD, MO 65807-5180
(417) 269-4646
(417) 269-8078
Mailing address
1000 E PRIMROSE ST STE 550, SPRINGFIELD, MO 65807-5180
(417) 269-4646
(417) 269-8078
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
26D0652448
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1559
BLUECROSS BLUESHIELD
MO
05
—
700100407
—
MO
Enumeration date
02/06/2007
Last updated
04/15/2025
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