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SPRINGFIELD FAMILY PRACTICE LAB NPI 1902064785


NPI Information

NPI: 1902064785
Provider Name: SPRINGFIELD FAMILY PRACTICE LAB
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
1100 CENTRE WEST DR
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 528-7541
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SPRINGFIELD FAMILY PRACTICE LAB is a clinical medical laboratory in Springfield, IL. The provider is (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. SPRINGFIELD FAMILY PRACTICE LAB NPI is 1902064785. The provider is registered as an organization entity type.

The provider's business location address is:

1100 CENTRE WEST DR
SPRINGFIELD, IL
ZIP 62704-100
Phone: (217) 528-7541

The provider's authorized official is Alan Nerone .
The authorized official title is Senior Vice President & Cfo and has the following contact phone number (217) 528-7541.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 7/25/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
114D0435733OTHERCLIA
2208260MEDICARE PIN
3=========027MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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