SOUTHERN ILLINOIS HISTOLOGY, LLC
NPI 1215208798
Pathology - Anatomic Pathology & Clinical Pathology in Granite City, IL

Active since January 16, 2012
2100 MADISON AVE, GRANITE CITY, IL 62040(618) 798-3000 Get Directions Write a Review

NPPES record last updated: January 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Illinois Histology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ILLINOIS HISTOLOGY, LLC (NPI 1215208798) is a healthcare organization registered as an anatomic pathology & clinical pathology in Granite City, Illinois and active in the NPI registry since January 2012. The organization lists Dolph D Haege, President, as its authorized official.

NPPES Registry Identity

NPI1215208798
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSOUTHERN ILLINOIS HISTOLOGY, LLC
Location Address2100 MADISON AVEGranite City, IL 62040-4701
Mailing AddressPo Box 144333Orlando, FL 32814-4333 · (407) 422-9831 · Fax (407) 206-1767
Organization SubpartNo
Authorized OfficialDolph D HaegePresident · (618) 798-3000
Enumeration DateJanuary 16, 2012
NPI 1215208798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

2100 MADISON AVE, Granite City, IL 62040

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Pharmacist
2100 MADISON AVE
GRANITE CITY, IL 62040
Physical Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Psychiatric Unit
2100 MADISON AVE
GRANITE CITY, IL 62040
Physical Therapy Assistant
2100 MADISON AVE
GRANITE CITY, IL 62040
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Occupational Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Nurse Practitioner (Acute Care)
2100 MADISON AVE
GRANITE CITY, IL 62040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Illinois Histology, LLC's NPI number?

The NPI number for Southern Illinois Histology, LLC is 1215208798. It was assigned to this organization in the NPPES registry on January 16, 2012.

Where is Southern Illinois Histology, LLC located?

Southern Illinois Histology, LLC is located at 2100 Madison Ave, Granite City, IL 62040. The listed phone number is (618) 798-3000.

What is Southern Illinois Histology, LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Histology, LLC was last updated on January 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.