JEFFERSON CITY MEDICAL GROUP, PC
NPI 1235723701
Pathology - Anatomic Pathology & Clinical Pathology in Jefferson City, MO

Active since February 25, 2021
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 635-5264 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson City Medical Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON CITY MEDICAL GROUP, PC (NPI 1235723701), doing business as Jcmg Path Lab, is a healthcare organization registered as an anatomic pathology & clinical pathology in Jefferson City, Missouri and active in the NPI registry since February 2021. The organization lists Phyllis Blake, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1235723701
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameJEFFERSON CITY MEDICAL GROUP, PC
Location Address1241 W STADIUM BLVDJefferson City, MO 65109-6023
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240 · (573) 635-5264
Organization SubpartNo
Authorized OfficialPhyllis BlakeDirector Of Revenue Cycle · (573) 556-7721
Enumeration DateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
NPI 1235723701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
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.
1241 W STADIUM BLVD, Jefferson City, MO 65109

Other Names 1

Doing Business AsJcmg Path Lab

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Radiology (Diagnostic Radiology)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson City Medical Group, PC's NPI number?

The NPI number for Jefferson City Medical Group, PC is 1235723701. It was assigned to this organization in the NPPES registry on February 25, 2021. The provider is doing business as JCMG Path Lab.

Where is Jefferson City Medical Group, PC located?

Jefferson City Medical Group, PC is located at 1241 W Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (573) 635-5264.

What is Jefferson City Medical Group, PC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Jefferson City Medical Group, PC was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.