Mineral Area Pathology, Llc

LBN: Mineral Area Pathology, Llc
Mineral Area Pathology, Llc is an health care organization with primary practice located at 655 Craig Rd Suite 112, Saint Louis MO 63141-7132. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mineral Area Pathology, Llc can be contacted via phone (314) 336-0945, or through Deidiker, Russell via phone (314) 336-0945.

Contact Information

Primary practice address
655 Craig Rd Suite 112 Saint Louis MO 63141-7132
Fax: (314) 336-0949
Website:
Authorized official contact:
Name: Deidiker, Russell Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1386696474
LBN Legal business name Mineral Area Pathology, Llc
DBA Doing business as
Authorized official Deidiker, Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Aug 22nd, 2020 - about 4 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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