Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Diagnostic Laboratory, Inc

Organization Clinical Medical Laboratory · NPI 1699706770

Medical Diagnostic Laboratory, Inc is a Clinical Medical Laboratory in Belleville, Illinois. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

45 Sheffield Dr
Belleville, IL 62223-3557
Phone: (618) 233-0522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1699706770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Pongpitoon — President · (618) 233-0522
NPI enumeratedJuly 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address45 Sheffield Dr, Belleville, IL 62223-3557

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