OrganizationActive
Prairie Pathology and Laboratory Physicians
NPI 1265433312 · Clinical Pathology/Laboratory Medicine Physician · Normal, IL
Provider details
- NPI number
- 1265433312
- Entity type
- Organization
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Young Kim, Director(309) 454-0731
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Virginia at Franklin
Bromenn Regional Medical Center
Normal, IL 61761
Phone: (309) 454-0731
Fax: (309) 452-2375
Street-level locationGet directions
Mailing address
Po Box 1808
Bloomington, IL 61702-1808
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.