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DENNIS DIETZEN
NPI 1598475592
Pathology - Clinical Laboratory Director, Non-physician in Glen Carbon, IL

Active since November 30, 2022
203 SIERRA PT, GLEN CARBON, IL 62034(618) 971-8827 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dennis Dietzen NPPES

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

DENNIS DIETZEN (NPI 1598475592) is an individual clinical laboratory director, non-physician in Glen Carbon, Illinois and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1598475592
Entity TypeIndividualMale
Primary Taxonomy247ZC0005X
Provider Legal NameDENNIS DIETZEN
Location Address203 SIERRA PTGlen Carbon, IL 62034-1346
Mailing Address203 Sierra PtGlen Carbon, IL 62034-1346 · (618) 971-8827
Phone(618) 971-8827
Sole ProprietorYes
Enumeration DateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
✔ NPI 1598475592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
203 SIERRA PT, Glen Carbon, IL 62034
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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 Dennis Dietzen's NPI number?

The NPI number for Dennis Dietzen is 1598475592. It was assigned to this individual provider in the NPPES registry on November 30, 2022.

Where is Dennis Dietzen located?

Dennis Dietzen practices at 203 Sierra Pt, Glen Carbon, IL 62034. The listed phone number is (618) 971-8827.

What is Dennis Dietzen's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Dennis Dietzen was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.