MID-AMERICA CLINICAL PATHOLOGY, LLC (NPI# 1770957201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770957201 |
| Entity Type | Organization |
| Organization Name | MID-AMERICA CLINICAL PATHOLOGY, LLC |
| Practice Address |
1101 W Liberty St Farmington MO 63640-1921 |
| Mailing Address |
12898 Thornhill Ct Saint Louis MO 63131-1883 |
| Practice Telephone | 5737566451 |
| Mailing Telephone | 3142876054 |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | DR. ZAHID KALEEM (CEO) |
| Authorized Official Telephone | 3143681540 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
MD112142 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1101 W LIBERTY ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912970880 | Vladimir Melyakov | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640-1921 | 2006-02-09 |
| 1891303053 | Parkland Health Center | Clinical Medical Laboratory | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-07-14 |
| 1902430481 | Nrg-parkland LLC | Radiology | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-02-24 |
| 1700342847 | Alyssa Michelle Bocci | Physician Assistant | 1101 W Liberty St, Farmington, MO 63640-1921 | 2019-02-13 |
| 1811414626 | Nawaf Al-hashemi | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640-1921 | 2017-08-23 |
| 1063959104 | Southern Missouri Infectious Disease Specialists LLC | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640 | 2017-01-27 |
| 1265981856 | Matthew Akers | Nurse Practitioner | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-09-24 |
| 1780037630 | Meredith Politte | Nurse Practitioner | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-07-15 |
| 1801252812 | Alyssa Trautman | Dietitian, Registered | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-01-06 |
| 1508241431 | Ricardo Antonio Rodriguez | Hospitalist | 1101 W Liberty St, Farmington, MO 63640 | 2015-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922387968 | Maria De Los Angeles Muniz | Pathology | 209 Farmington Ave, Farmington, CT 06032-1955 | 2011-08-09 |
| 1679600084 | Franklin Pathology Services Pa | Pathology | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2007-02-27 |
| 1346223070 | Patricia Pisciotto | Pathology | 263 Farmington Ave, Uconn/laboratory Medicine Associates, Farmington, CT 06030-0001 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942472972 | Daniel L Gwartney | Pathology | 3950 N Oberlin Valley Rd, Columbia, MO 65202-6810 | 2008-03-31 |
| 1043318124 | James Rolland Miller | Pathology | 2916 S Brentwood Blvd, Saint Louis, MO 63144-2714 | 2006-09-20 |
| 1447295993 | Lii-mei B Tsai | Pathology | 11710 Administration Dr, Suite #22, Saint Louis, MO 63146-3407 | 2006-06-18 |
| 1104479203 | Lisandro Roberto Fortuny | Pathology | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-07-18 |
| 1306323399 | Gary Emanuel Grajales-reyes | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-07-23 |
| 1700362316 | Mei San Tang | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2018-07-17 |
| 1740701846 | Adam Lee Bailey | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-29 |
| 1295255628 | Arjun Swaminathan Raman | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-27 |
| 1598118846 | Jonathan Robert Brestoff Parker | Pathology | 660 S Euclid Ave, Box 8118, Saint Louis, MO 63110-1010 | 2016-07-21 |
| 1235512344 | Abraham Jaleel Qavi | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2015-07-07 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on MID-AMERICA CLINICAL PATHOLOGY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.