Clinic Laboratory in Carbondale - Clinical Medical Laboratory
Clinic Laboratory - NPI 1336205913
Clinic Laboratory is a Clinical Medical Laboratory in Carbondale, Illinois. Clinic Laboratory practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Clinic Laboratory is 1336205913. The last update date is 2008-05-09.
Clinic Laboratory's current location address is 2601 W Main St, Carbondale, Illinois. You can contact this provider via phone number 6185495361 and fax number 6185495128. The mailing address for Clinic Laboratory is 2601 W Main St, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clinic Laboratory |
|---|---|
| Address | 2601 W Main St, Carbondale, Illinois |
| Phone Number | 6185495361 |
| Fax Number | 6185495128 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Norman N. Allan |
| Telephone Number | 6184575200 |
NPI Number Detail
| NPI Number | 1336205913 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 2601 W Main St |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629011031 |
| Phone Number | 6185495361 |
| Fax Number | 6185495128 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 148511 | IL | LEGACY | |
| 690003493 | IL | RR MEDICARE | |
| 196086 | IL | GHP | |
| 44649 | IL | HAMP | |
| 461070 | IL | HEALTHLINK |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clinic Laboratory by the Centers for Medicare & Medicaid Services?
The Clinic Laboratory has been issued the NPI (National Provider Identifier) 1336205913 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Clinic Laboratory is geographically located?
The Clinic Laboratory is physically situated at the following location: 2601 W Main St, Carbondale, IL, 629011031.
What is Clinic Laboratory's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clinic Laboratory is Clinical Medical Laboratory, and the taxonomy classification code that categorizes this area of expertise is 291U00000X.
When was the Clinic Laboratory's 1336205913 issued?
The Clinic Laboratory's 1336205913 was issued on 2006-12-28.
When was the information regarding Clinic Laboratory most recently updated?
The details pertaining to the Clinic Laboratory, including its address, specialty, and other relevant information, were last refreshed on 2008-05-09.
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