Springfield Clinic Carlinville Lab in Carlinville - Clinical Medical Laboratory
Springfield Clinic Carlinville Lab - NPI 1518125475
Springfield Clinic Carlinville Lab is a Clinical Medical Laboratory in Carlinville, Illinois. Springfield Clinic Carlinville Lab practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Springfield Clinic Carlinville Lab is 1518125475. The last update date is 2022-07-21.
Springfield Clinic Carlinville Lab's current location address is 20613 N Broad St, Carlinville, Illinois. You can contact this provider via phone number 2178545099. The mailing address for Springfield Clinic Carlinville Lab is 20613 N Broad St, Carlinville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Springfield Clinic Carlinville Lab |
|---|---|
| Address | 20613 N Broad St, Carlinville, Illinois |
| Phone Number | 2178545099 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR VIC |
|---|---|
| Authorized Official Name | Nerone Alan |
| Telephone Number | 2175287541 |
NPI Number Detail
| NPI Number | 1518125475 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 20613 N Broad St |
|---|---|
| City | Carlinville |
| State | Illinois (IL) |
| Post Code | 626263720 |
| Phone Number | 2178545099 |
| Fax Number |
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 |
|---|---|---|---|
| 14D0984682 | CLIA |
Post Comment/ Review Below
What is the unique identifier code issued to Springfield Clinic Carlinville Lab by the Centers for Medicare & Medicaid Services?
The Springfield Clinic Carlinville Lab has been assigned the NPI (National Provider Identifier) 1518125475. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Springfield Clinic Carlinville Lab located?
The Springfield Clinic Carlinville Lab is located at 20613 N Broad St, Carlinville, IL 626263720.
What is Springfield Clinic Carlinville Lab's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Springfield Clinic Carlinville Lab is Clinical Medical Laboratory, and the taxonomy code that categorizes this field of expertise is 291U00000X.
On what date did Springfield Clinic Carlinville Lab receive its 1518125475 assignment from the Centers for Medicare & Medicaid Services?
The Springfield Clinic Carlinville Lab was assigned its 1518125475 on 2008-05-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Springfield Clinic Carlinville Lab most recently updated or revised?
The information pertaining to Springfield Clinic Carlinville Lab, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
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