Wabash Family Practice Center Lab in Springfield - Clinical Medical Laboratory

Wabash Family Practice Center Lab - NPI 1346408424

Wabash Family Practice Center Lab is a Clinical Medical Laboratory in Springfield, Illinois. Wabash Family Practice Center Lab practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Wabash Family Practice Center Lab is 1346408424. The last update date is 2017-07-25.

Wabash Family Practice Center 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 Wabash Family Practice Center Lab is 1025 South 6th Street, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wabash Family Practice Center 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 1346408424
Provider Enumeration Date 2008-05-27
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
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14D0435941 CLIA

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FAQs about Wabash Family Practice Center Lab

What is the unique 10-digit identification code issued to Wabash Family Practice Center Lab by the Centers for Medicare & Medicaid Services?

The Wabash Family Practice Center Lab has been assigned the NPI (National Provider Identifier) 1346408424 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Wabash Family Practice Center Lab is physically located?

The Wabash Family Practice Center Lab is physically situated at the following address: 1025 South 6Th Street, Springfield, IL, 627032403.

What is Wabash Family Practice Center Lab's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Wabash Family Practice Center Lab is Clinical Medical Laboratory, and the corresponding taxonomy classification code for this specialized field is 291U00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1346408424 to Wabash Family Practice Center Lab?

The Centers for Medicare & Medicaid Services assigned the 1346408424 to Wabash Family Practice Center Lab on 2008-05-27.

As of what date were the Wabash Family Practice Center Lab's details last updated?

The information pertaining to the Wabash Family Practice Center Lab, including its address, specialty, and other details, was most recently updated on 2017-07-25.

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