Provider Demographics
NPI:1194193326
Name:MID-AMERICA PATHOLOGY CONSULTANTS, LLC
Entity Type:Organization
Organization Name:MID-AMERICA PATHOLOGY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:KALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-368-1540
Mailing Address - Street 1:10854 MIDWEST INDUSTRIAL BLVD STE 2A&2B
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-1611
Mailing Address - Country:US
Mailing Address - Phone:314-736-6709
Mailing Address - Fax:314-736-6718
Practice Address - Street 1:10854 MIDWEST INDUSTRIAL BLVD STE 2A&2B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1611
Practice Address - Country:US
Practice Address - Phone:314-736-6709
Practice Address - Fax:314-736-6718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112142207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty