Springfield Clinic Mt Pulaski Lab

LBN: Springfield Clinic Mt Pulaski Lab
Springfield Clinic Mt Pulaski Lab is an health care organization with primary practice located at 1112 N Topper Dr , Mount Pulaski IL 62548-1401. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Springfield Clinic Mt Pulaski Lab can be contacted via phone (217) 792-3756, or through Nerone, Alan via phone (217) 528-7541.

Contact Information

Primary practice address
1112 N Topper Dr Mount Pulaski IL 62548-1401
Phone: (217) 792-3756
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nerone, Alan
Phone: (217) 528-7541

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1952697492
LBN Legal business name Springfield Clinic Mt Pulaski Lab
DBA Doing business as
Authorized official Nerone, Alan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 23rd, 2011
Last updated Jul 21st, 2022 - about 3 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 1952697492 NPPES
Other 14D2025259 CLIA

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