Southern Iilinois Pathology Laboratory Ltd in Alton - Clinical Medical Laboratory
Southern Iilinois Pathology Laboratory Ltd - NPI 1790829117
Southern Iilinois Pathology Laboratory Ltd is a Clinical Medical Laboratory in Alton, Illinois. Southern Iilinois Pathology Laboratory Ltd practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Southern Iilinois Pathology Laboratory Ltd is 1790829117. The last update date is 2008-01-14.
Southern Iilinois Pathology Laboratory Ltd's current location address is Po Box 1166, Alton, Illinois. You can contact this provider via phone number 6184663645 and fax number 6184663410. The mailing address for Southern Iilinois Pathology Laboratory Ltd is Po Box 1166, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Iilinois Pathology Laboratory Ltd |
|---|---|
| Address | Po Box 1166, Alton, Illinois |
| Phone Number | 6184663645 |
| Fax Number | 6184663410 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LABORATORY |
|---|---|
| Authorized Official Name | King H Ordie |
| Credentials | D D S PH D |
| Telephone Number | 6184663645 |
NPI Number Detail
| NPI Number | 1790829117 |
|---|---|
| Provider Enumeration Date | 2007-02-18 |
| Last Updated Date | 2008-01-14 |
Provider Mailing Address Detail
| Address | Po Box 1166 |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 620021166 |
| Phone Number | 6184663645 |
| Fax Number | 6184663410 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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What is the unique 10-digit identifier code assigned to Southern Iilinois Pathology Laboratory Ltd by the Centers for Medicare & Medicaid Services?
The Southern Iilinois Pathology Laboratory Ltd has been issued the NPI (National Provider Identifier) 1790829117 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Southern Iilinois Pathology Laboratory Ltd?
The Southern Iilinois Pathology Laboratory Ltd is situated at Po Box 1166, in the city of Alton, state of IL, with the zip code 620021166.
What is the Southern Iilinois Pathology Laboratory Ltd's specialty and taxonomy code?
The Southern Iilinois Pathology Laboratory Ltd's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.
On what date was the 1790829117 assigned to Southern Iilinois Pathology Laboratory Ltd?
The Southern Iilinois Pathology Laboratory Ltd was issued its 1790829117 on 2007-02-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Southern Iilinois Pathology Laboratory Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southern Iilinois Pathology Laboratory Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-14.