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DR. JULIE ANN NEIDICH MD NPI 1962690180


NPI Information

NPI: 1962690180
Provider Name: DR. JULIE ANN NEIDICH, MD
Classification: Pathology - 207ZP0007X
Entity Type: Individual

Specialization: Molecular Genetic Pathology

PECOS Registration: Yes

Address:
4320 FOREST PARK AVE
DIV PA LAB AND GENOMIC MED, STE 209
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 362-5641
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DR. Julie Ann Neidich, MD is a molecular genetic pathology pathology in Saint Louis, MO. The provider is a molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. DR. Julie Ann Neidich, MD NPI is 1962690180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4320 FOREST PARK AVE
DIV PA LAB AND GENOMIC MED, STE 209
SAINT LOUIS, MO
ZIP 63108-979
Phone: (314) 362-5641
Fax: (314) 362-0369

The NPI 1962690180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2007 and was last updated on 4/25/2024.


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
1207ZP0007XPathologyMolecular Genetic Pathology2017022702MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200090687MEDICAIDMISSOURI

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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