Southern Illinois Histology, LLC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1215208798

Southern Illinois Histology, LLC is an Anatomic Pathology & Clinical Pathology Physician in Granite City, Illinois. Registered with an NPI since 2012.

In the registry since: 2012

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 Madison Ave
Granite City, IL 62040-4701
Phone: (618) 798-3000

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary)	Taxonomy 207ZP0102X

Record details

NPI number	1215208798
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dolph Haege — President · (618) 798-3000
NPI enumerated	January 16, 2012
Last updated in NPPES	January 16, 2012
Mailing address	Po Box 144333, Orlando, FL 32814-4333