Organization
SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION
Active
Parent organization
SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION
Other names
Cairo Diagnostic Center Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION
Authorized official
MR. FREDERICK L BERNSTEIN (C.E.O.)
(618) 457-0450
Entity
Organization
Contact information
Practice address
13289 KESSLER RD, CAIRO, IL 62914-3101
(618) 734-1500
(618) 734-9152
Mailing address
13289 KESSLER RD, CAIRO, IL 62914-3101
(618) 734-1500
(618) 734-9152
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D0436489
CLIA#
—
Enumeration date
06/28/2013
Last updated
08/09/2013
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