Southern Illinois Pathology, Pc
LBN: Southern Illinois Pathology, Pc
Southern Illinois Pathology, Pc is an health care organization with primary practice located at 404 W Main St Pathology Department, Carbondale IL 62901-2904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty.
Southern Illinois Pathology, Pc can be contacted via phone (618) 549-0721, or through Padmalatha, Chandrashekar via phone (618) 549-0721.
Contact Information
Primary practice address
404 W Main St Pathology Department
Carbondale IL 62901-2904
Phone: (618) 549-0721
Fax:
Website:
Authorized official contact:
Name: Padmalatha, Chandrashekar Doctor of Medicine (MD)
Phone: (618) 549-0721
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
| NPI number | 1588649024 |
|---|---|
| LBN Legal business name | Southern Illinois Pathology, Pc |
| DBA Doing business as | |
| Authorized official | Padmalatha, Chandrashekar Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Mar 14th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588649024 | NPPES |
| Illinois | MEDICAID | 14D0436426 |
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