Springfield Family Practice Lab in Springfield - Clinical Medical Laboratory
Springfield Family Practice Lab - NPI 1902064785
Springfield Family Practice Lab is a Clinical Medical Laboratory in Springfield, Illinois. Springfield Family Practice Lab practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Springfield Family Practice Lab is 1902064785. The last update date is 2017-07-25.
Springfield Family Practice Lab's current location address is 1025 South 6th Street, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Springfield Family Practice Lab is 1025 South 6th Street, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Springfield Family Practice Lab |
|---|---|
| Address | 1025 South 6th Street, Springfield, Illinois |
| Phone Number | 2175287541 |
| 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 | 1902064785 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2017-07-25 |
Provider Mailing Address Detail
| Address | 1025 South 6th Street |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627032403 |
| Phone Number | 2175287541 |
| 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 |
|---|---|---|---|
| 14D0435733 | CLIA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Springfield Family Practice Lab by the Centers for Medicare & Medicaid Services?
The Springfield Family Practice Lab has been assigned the NPI (National Provider Identifier) 1902064785 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Springfield Family Practice Lab is physically located?
The Springfield Family Practice Lab is situated at the following address: 1025 South 6Th Street, Springfield, IL 627032403.
What is Springfield Family Practice Lab's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Springfield Family Practice Lab's specialized field of practice is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of specialization is 291U00000X.
On what date was the 1902064785 assigned to Springfield Family Practice Lab?
The Springfield Family Practice Lab was issued its 1902064785 on 2008-05-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Springfield Family Practice Lab, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Springfield Family Practice Lab, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-07-25.