Midwest Dermpath Llc

LBN: Midwest Dermpath Llc
Midwest Dermpath Llc is an health care organization with primary practice located at 409 Keller St , Bartonville IL 61607-2556. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is the primary health care specialty. Midwest Dermpath Llc can be contacted via phone (309) 404-6583, or through Hailu, Tesfu via phone (309) 404-6583.

Contact Information

Primary practice address
409 Keller St Bartonville IL 61607-2556
Phone: (309) 404-6583
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hailu, Tesfu Doctor of Medicine (MD)
Phone: (309) 404-6583

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1194591529
LBN Legal business name Midwest Dermpath Llc
DBA Doing business as
Authorized official Hailu, Tesfu Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2023
Last updated Jan 31st, 2024 - about last year

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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