Health Ventures of Southern Illinois LLC

NPI #1831179415 in O Fallon, Illinois

Provider Information

NPI Number
1831179415
Entity Type
Organization
Organization Name
Health Ventures of Southern Illinois LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jan 19, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1512 N GREEN MOUNT RD
Address 2
TRI LAB LLC AT ST ELIZABETHS MEDICAL PARK
ZIP Code
62269-1953
Phone
(619) 624-3750

Authorized Official

Name
MR. EDWARD HUGHES
Title
EXECUTIVE DIRECTOR
Phone
(618) 343-0639

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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