Health Ventures of Southern Illonois LLC
NPI #1669451977 in Belleville, Illinois
Provider Information
- NPI Number
- 1669451977
- Entity Type
- Organization
- Organization Name
- Health Ventures of Southern Illonois LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 180 S 3RD ST
- Address 2
- STE 300 TRI-LAB LLC @ ST ELIZABETH'S MEDICAL ARTS BUILD
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1952
- Phone
- (618) 233-4187
Authorized Official
- Name
- MR. EDWARD HUGHES
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 343-0639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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