OrganizationActive
Medical Diagnostic Laboratory, Inc
NPI 1699706770 · Clinical Medical Laboratory · Belleville, IL
Medical Diagnostic Laboratory, Inc is a Clinical Medical Laboratory organization in Belleville, IL (NPI 1699706770).
Provider details
- NPI number
- 1699706770
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Paul Pongpitoon, President(618) 233-0522
Specialties & taxonomies
Laboratories
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
19 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
45 Sheffield Dr
Belleville, IL 62223-3557
Phone: (618) 233-0522
Street-level locationGet directions
Mailing address
45 Sheffield Dr
Belleville, IL 62223-3557
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Medical Diagnostic Laboratory, Inc's NPI number?
- Medical Diagnostic Laboratory, Inc's National Provider Identifier (NPI) is 1699706770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Diagnostic Laboratory, Inc?
- Medical Diagnostic Laboratory, Inc is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Medical Diagnostic Laboratory, Inc located?
- Medical Diagnostic Laboratory, Inc's practice location on file with NPPES is 45 Sheffield Dr, Belleville, IL 62223-3557.
- What is Medical Diagnostic Laboratory, Inc's phone number?
- The practice phone number listed in the NPPES registry for Medical Diagnostic Laboratory, Inc is (618) 233-0522.
- Who is the authorized official for Medical Diagnostic Laboratory, Inc?
- The authorized official listed on Medical Diagnostic Laboratory, Inc's NPPES record is Paul Pongpitoon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Diagnostic Laboratory, Inc's NPI active?
- Yes — Medical Diagnostic Laboratory, Inc's NPI (1699706770) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.