Granite City Physicians Corp in Granite City - Clinical Medical Laboratory
Granite City Physicians Corp - NPI 1508983214
Granite City Physicians Corp is a Clinical Medical Laboratory in Granite City, Illinois. Granite City Physicians Corp practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Granite City Physicians Corp is 1508983214. The last update date is 2020-08-22.
Granite City Physicians Corp's current location address is 2044 Madison Ave, Granite City, Illinois. You can contact this provider via phone number 6184511500. The mailing address for Granite City Physicians Corp is 2044 Madison Ave, Granite City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granite City Physicians Corp |
|---|---|
| Address | 2044 Madison Ave, Granite City, Illinois |
| Phone Number | 6184511500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Newsome Gary |
| Telephone Number | 6184511500 |
NPI Number Detail
| NPI Number | 1508983214 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2044 Madison Ave |
|---|---|
| City | Granite City |
| State | Illinois (IL) |
| Post Code | 620404641 |
| Phone Number | 6184511500 |
| Fax Number |
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 identifier code issued to Granite City Physicians Corp by the Centers for Medicare & Medicaid Services?
The Granite City Physicians Corp has been assigned the NPI (National Provider Identifier) 1508983214. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Granite City Physicians Corp's facilities are geographically located?
The facilities of Granite City Physicians Corp are physically situated at the following location: 2044 Madison Ave, Granite City, IL, 620404641.
What is the area of specialization for Granite City Physicians Corp, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Granite City Physicians Corp is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of expertise is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508983214 to Granite City Physicians Corp?
The Centers for Medicare & Medicaid Services originally issued the 1508983214 to Granite City Physicians Corp on 2007-03-26.
As of what date was the information regarding Granite City Physicians Corp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Granite City Physicians Corp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.