Organization
AFFILIATES IN PATHOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY SPREI MD (PRESIDENT/PROVIDER)
(270) 442-9519
Entity
Organization
Contact information
Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 442-9519
(314) 631-4491
Mailing address
100 FOUNTAIN AVE, STE 300, PADUCAH, KY 42001-2771
(270) 442-9519
(314) 631-4491
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317622
BCBS KY PIN
KY
01
—
DC1348
MEDICARE RAILROAD
KY
Enumeration date
06/17/2005
Last updated
07/21/2022
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