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

Q: 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.

Q: 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.

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: August 16, 2026.

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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

Phone(618) 798-3000

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

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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.

GRANITE CITY CLINIC CORP

Nurse Anesthetist, Certified Registered