| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Pathology |
| DEFINITION | A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. |
| AREA OF SPECIALIZATION | Pediatric Pathology |
| STATUS | Active |
| VA CODE | V182414 |
| X12 CODE | 207ZP0213X |
| SPECIALTY CODE | 22 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251835 |
| EFFECTIVE DATE/TIME |
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