Organization
PRIMEPATH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONITA SONI M.D. (PRESIDENT)
(256) 301-3282
Entity
Organization
Contact information
Practice address
1874 BELTLINE RD SW, DECATUR, AL 35601-5514
(256) 301-3282
(256) 301-3278
Mailing address
PO BOX 5565, DECATUR, AL 35601-0565
(256) 350-4855
(256) 350-4866
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51522999
BCBS
AL
Enumeration date
09/28/2006
Last updated
07/19/2007
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