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General NPI Number Information
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NPI Number | 1609859560
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PATHOLOGY SERVICES LC
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1015 BOWLES AVE
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City | FENTON
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State | MO
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Zip | 63026-2394
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Country | US
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Telephone | 636-496-2720
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Fax | 314-821-1833
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Provider Business Mailing Address
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Address Line | PO BOX 842049
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City | KANSAS CIY
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State | MO
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Zip | 64184-2049
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Country | US
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Telephone | 314-821-8055
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Fax | 314-821-1833
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATHRYN LAW
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Credential | M.D.
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Telephone | 314-768-8202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 26D0045374
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 26D0437653
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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