Laura C. Randolph Md Sc

LBN: Laura C. Randolph Md Sc
Laura C. Randolph Md Sc is an health care organization with primary practice located at 2502 E Empire St Suite C, Bloomington IL 61704-3738. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Laura C. Randolph Md Sc can be contacted via phone (309) 664-6222, or through Dempsey, Rita via phone (309) 664-6222.

Contact Information

Primary practice address
2502 E Empire St Suite C Bloomington IL 61704-3738
Phone: (309) 664-6222
Fax: (309) 664-5006
Website:
Map and Directions
Authorized official contact:
Name: Dempsey, Rita
Phone: (309) 664-6222

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 36100030 Illinois

Profile Details

NPI number 1255527727
LBN Legal business name Laura C. Randolph Md Sc
DBA Doing business as
Authorized official Dempsey, Rita
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 2007 - about 17 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 1255527727 NPPES
Illinois Other 097565 HEALTH ALLIANCE
Illinois Other 686867 HEALTH ALLIANCE
Illinois Other P00193845 HEALTH ALLIANCE
Illinois Other 5732066 HEALTH ALLIANCE

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