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Organization

SIOUXLAND CYTOLOGY CONSULTANTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES THOMAS QUESENBERRY M.D. (PRESIDENT)
(712) 255-6063
Entity
Organization

Contact information

Practice address
2730 PIERCE ST, SUITE 405, SIOUX CITY, IA 51104-3796
(712) 255-6063
(712) 255-6093
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
29270
IA
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0557074
IA
01
99659
BCBS
IA
Enumeration date
04/04/2006
Last updated
02/02/2013
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