Central Illinois Pathology, Sc

LBN: Central Illinois Pathology, Sc
Central Illinois Pathology, Sc is an health care organization with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Central Illinois Pathology, Sc can be contacted via phone (309) 624-9011, or through Hayes, Michael P via phone (309) 624-9011.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637-0001
Phone: (309) 624-9011
Fax: (309) 624-9152
Website:
Map and Directions
Authorized official contact:
Name: Hayes, Michael P Doctor of Medicine (MD)
Phone: (309) 624-9011

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1114970761
LBN Legal business name Central Illinois Pathology, Sc
DBA Doing business as
Authorized official Hayes, Michael P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Oct 30th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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