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Granite City Physicians Corp

Clinical Medical Laboratory in Granite City, IL · enumerated 2007 · authorized official Gary Newsome, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508983214

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Registry record

Entity type Organization (Type 2)
Legal business name Granite City Physicians Corp
Practice address 2044 Madison Ave, Suite 15, Granite City, IL, 62040
Enumeration date Mar 26, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Gary Newsome
Title Vice President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Granite City Physicians Corp?
Granite City Physicians Corp is registered in NPPES as a Clinical Medical Laboratory (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.