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UNIVERSITY PATHOLOGY DIAGNOSTICS SC NPI 1275088130


NPI Information

NPI: 1275088130
Provider Name: UNIVERSITY PATHOLOGY DIAGNOSTICS SC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 36D2251504

Address:
1653 W CONGRESS PKWY
570 JELKE
CHICAGO, IL
ZIP 60612
Phone: (312) 942-8850
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UNIVERSITY PATHOLOGY DIAGNOSTICS SC is an anatomic pathology and clinical pathology pathology in Chicago, IL. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. UNIVERSITY PATHOLOGY DIAGNOSTICS SC NPI is 1275088130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1653 W CONGRESS PKWY
570 JELKE
CHICAGO, IL
ZIP 60612-833
Phone: (312) 942-8850
Fax: (312) 563-8630

The provider's authorized official is Vijaya B Reddy .
The authorized official title is President and has the following contact phone number (312) 942-8850.

The CLIA number assigned to this NPI record is 36D2251504 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2016 and was last updated on 8/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology70191199ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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