MEDICAL DIAGNOSTIC LABORATORY, INC
NPI 1699706770
Clinical Medical Laboratory in Belleville, IL

Active since July 06, 2006
45 SHEFFIELD DR, BELLEVILLE, IL 62223(618) 233-0522 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Diagnostic Laboratory, Inc NPPES

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

MEDICAL DIAGNOSTIC LABORATORY, INC (NPI 1699706770) is a healthcare organization registered as a clinical medical laboratory in Belleville, Illinois and active in the NPI registry since July 2006. The organization lists Paul Pongpitoon, President, as its authorized official.

NPPES Registry Identity

NPI1699706770
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMEDICAL DIAGNOSTIC LABORATORY, INC
Location Address45 SHEFFIELD DRBelleville, IL 62223-3557
Mailing Address45 Sheffield DrBelleville, IL 62223-3557 · (618) 233-0522
Organization SubpartNo
Authorized OfficialPaul PongpitoonPresident · (618) 233-0522
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1699706770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
45 SHEFFIELD DR, Belleville, IL 62223

Other Identifiers 5

Other110795IL · Healthlink
Other31251MO · Bcbs Of Missouri
Other3509010IL · Uhc
Other50000463IL · Bcbs Of Illinois
Other32714IL · Ghp

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 Medical Diagnostic Laboratory, Inc's NPI number?

The NPI number for Medical Diagnostic Laboratory, Inc is 1699706770. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Medical Diagnostic Laboratory, Inc located?

Medical Diagnostic Laboratory, Inc is located at 45 Sheffield Dr, Belleville, IL 62223. The listed phone number is (618) 233-0522.

What is Medical Diagnostic Laboratory, Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Medical Diagnostic Laboratory, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.