OrganizationActive
Southern Iilinois Pathology Laboratory Ltd
NPI 1790829117 · Clinical Medical Laboratory · Godfrey, IL
Southern Iilinois Pathology Laboratory Ltd is a Clinical Medical Laboratory organization in Godfrey, IL (NPI 1790829117).
Provider details
- NPI number
- 1790829117
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Ordie King, Laboratory Director(618) 466-3645
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 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
6111 Vollmer Ln
Godfrey, IL 62035-1062
Phone: (618) 466-3645
Fax: (618) 466-3410
Street-level locationGet directions
Mailing address
Po Box 1166
Alton, IL 62002-1166
Registry dates
- Enumerated
- 2007-02-18
- Last updated
- 2008-01-14
Frequently asked questions
- What is Southern Iilinois Pathology Laboratory Ltd's NPI number?
- Southern Iilinois Pathology Laboratory Ltd's National Provider Identifier (NPI) is 1790829117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Iilinois Pathology Laboratory Ltd?
- Southern Iilinois Pathology Laboratory Ltd is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Southern Iilinois Pathology Laboratory Ltd located?
- Southern Iilinois Pathology Laboratory Ltd's practice location on file with NPPES is 6111 Vollmer Ln, Godfrey, IL 62035-1062.
- What is Southern Iilinois Pathology Laboratory Ltd's phone number?
- The practice phone number listed in the NPPES registry for Southern Iilinois Pathology Laboratory Ltd is (618) 466-3645.
- Who is the authorized official for Southern Iilinois Pathology Laboratory Ltd?
- The authorized official listed on Southern Iilinois Pathology Laboratory Ltd's NPPES record is Ordie King, Laboratory Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Iilinois Pathology Laboratory Ltd's NPI active?
- Yes — Southern Iilinois Pathology Laboratory Ltd's NPI (1790829117) is active in the NPPES registry as of the last update on 2008-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.