1699706770 MEDICAL DIAGNOSTIC LABORATORY, INC

Clinical Medical Laboratory

Active

Basic Information

Organization Name
MEDICAL DIAGNOSTIC LABORATORY, INC
Enumeration Date
July 6, 2006
Last Update
August 22, 2020
Authorized Official
MR. PAUL PONGPITOON MT(ASCP) M.P.H.
PRESIDENT
Phone: (618) 233-0522

Practice Location

Address
45 SHEFFIELD DR
BELLEVILLE, IL 622233557
Phone
(618) 233-0522

Mailing Address

Address
45 SHEFFIELD DR
BELLEVILLE, IL 622233557
Phone
(618) 233-0522

Specialties & Taxonomies

Specialty Code Classification License State Primary
Clinical Medical Laboratory
291U00000X Clinical Medical Laboratory N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
32714 01 IL GHP
3509010 01 IL UHC
110795 01 IL HEALTHLINK
31251 01 MO BCBS OF MISSOURI
50000463 01 IL BCBS OF ILLINOIS

Frequently Asked Questions

What is MEDICAL DIAGNOSTIC LABORATORY, INC's NPI number?
MEDICAL DIAGNOSTIC LABORATORY, INC's NPI number is 1699706770.
Which doctor has NPI number 1699706770?
The doctor with NPI number 1699706770 is MEDICAL DIAGNOSTIC LABORATORY, INC.
What is MEDICAL DIAGNOSTIC LABORATORY, INC's practice address?
MEDICAL DIAGNOSTIC LABORATORY, INC's practice address is 45 SHEFFIELD DR, BELLEVILLE, IL, 622233557.
Which doctor practices at 45 SHEFFIELD DR, BELLEVILLE, IL, 622233557?
MEDICAL DIAGNOSTIC LABORATORY, INC practices at 45 SHEFFIELD DR, BELLEVILLE, IL, 622233557.
What is MEDICAL DIAGNOSTIC LABORATORY, INC's phone number?
MEDICAL DIAGNOSTIC LABORATORY, INC's phone number is (618) 233-0522.
Who is (618) 233-0522?
(618) 233-0522 is the phone number for MEDICAL DIAGNOSTIC LABORATORY, INC.
What is MEDICAL DIAGNOSTIC LABORATORY, INC's specialty?
MEDICAL DIAGNOSTIC LABORATORY, INC's specialty is Clinical Medical Laboratory.
What type of doctor is MEDICAL DIAGNOSTIC LABORATORY, INC?
MEDICAL DIAGNOSTIC LABORATORY, INC is a Clinical Medical Laboratory.
Is MEDICAL DIAGNOSTIC LABORATORY, INC a Clinical Medical Laboratory?
Yes, MEDICAL DIAGNOSTIC LABORATORY, INC is a Clinical Medical Laboratory.
Is MEDICAL DIAGNOSTIC LABORATORY, INC still practicing?
Yes, MEDICAL DIAGNOSTIC LABORATORY, INC is currently practicing.
Is MEDICAL DIAGNOSTIC LABORATORY, INC accepting new patients?
MEDICAL DIAGNOSTIC LABORATORY, INC may be accepting new patients. Please call their office at (618) 233-0522 to inquire about availability.
Is NPI 1699706770 still active?
Yes, NPI 1699706770 is currently active.
Where does MEDICAL DIAGNOSTIC LABORATORY, INC practice?
MEDICAL DIAGNOSTIC LABORATORY, INC practices in BELLEVILLE, IL.