Clinic Laboratory

LBN: Clinic Laboratory
Clinic Laboratory is an health care organization with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Clinic Laboratory can be contacted via phone (618) 549-5361, or through Norman, Allan N. via phone (618) 457-5200.

Contact Information

Primary practice address
2601 W Main St Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 549-5128
Website:
Map and Directions
Authorized official contact:
Name: Norman, Allan N.
Phone: (618) 457-5200

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1336205913
LBN Legal business name Clinic Laboratory
DBA Doing business as
Authorized official Norman, Allan N.
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 28th, 2006
Last updated May 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336205913 NPPES
Illinois Other 148511 LEGACY
Illinois Other 690003493 LEGACY
Illinois Other 196086 LEGACY
Illinois Other 044649 LEGACY
Illinois Other 461070 LEGACY

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