Southern Iilinois Pathology Laboratory Ltd
Specialty details in registry · Godfrey, IL
At a glance
6111 Vollmer Ln, Godfrey, IL 62035-1062
NPPES record updated Jan 14, 2008. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
6111 Vollmer LnGodfrey, IL 62035-1062
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 291U00000X
- Enumeration date
- Feb 18, 2007
- Record updated
- Jan 14, 2008
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
291U00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
6111 Vollmer LnGodfrey, IL 62035-1062
- Phone
- (618) 466-3645
- Fax
- (618) 466-3410
Mailing address
PO BOX 1166ALTON, IL 620021166
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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