Southern Illinois Histology, LLC
NPI 1215208798 · Anatomic Pathology & Clinical Pathology Physician · Granite City, IL
Southern Illinois Histology, LLC is a Anatomic Pathology & Clinical Pathology Physician organization in Granite City, IL (NPI 1215208798).
Provider details
- NPI number
- 1215208798
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dolph Haege, President(618) 798-3000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-01-16
- Last updated
- 2012-01-16
Frequently asked questions
- What is Southern Illinois Histology, LLC's NPI number?
- Southern Illinois Histology, LLC's National Provider Identifier (NPI) is 1215208798, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Histology, LLC?
- Southern Illinois Histology, LLC is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Illinois Histology, LLC located?
- Southern Illinois Histology, LLC's practice location on file with NPPES is 2100 Madison Ave, Granite City, IL 62040-4701.
- What is Southern Illinois Histology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Histology, LLC is (618) 798-3000.
- Who is the authorized official for Southern Illinois Histology, LLC?
- The authorized official listed on Southern Illinois Histology, LLC's NPPES record is Dolph Haege, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Histology, LLC's NPI active?
- Yes — Southern Illinois Histology, LLC's NPI (1215208798) is active in the NPPES registry as of the last update on 2012-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.