Celldox Inc

LBN: Celldox Inc
Celldox Inc is an health care organization with primary practice located at 6470 Interstate Ct , Hannibal MO 63401-6759. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Celldox Inc can be contacted via phone (573) 248-0826, or through Roisum, Thomas A via phone (573) 248-0226.

Contact Information

Primary practice address
6470 Interstate Ct Hannibal MO 63401-6759
Fax: (573) 221-2252
Website:
Authorized official contact:
Name: Roisum, Thomas A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 00166253 Missouri

Profile Details

NPI number 1962515239
LBN Legal business name Celldox Inc
DBA Doing business as
Authorized official Roisum, Thomas A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated May 14th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962515239 NPPES
Missouri MEDICAID 501875306

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